Individual
MARSHA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 PRISON RD, REPRESA, CA 95671-3000
(860) 655-3753
Mailing address
2520 CARMICHAEL WAY APT 36, CARMICHAEL, CA 95608-5371
(860) 655-3753
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TF0200X
Forensic Psychologist
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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