Individual
D. MATTHEW EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 274-1423
(401) 455-6293
Mailing address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 274-1423
(401) 455-6293
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS00526
RI
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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