Individual
EVELYN DERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2924 KNIGHT ST STE 434, SHREVEPORT, LA 71105-2413
(318) 208-0451
Mailing address
2924 KNIGHT ST STE 434, SHREVEPORT, LA 71105-2413
(318) 606-4413
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7130
LA
101YP2500X
Professional Counselor
Primary
7130
LA
Other
Enumeration date
07/26/2016
Last updated
02/04/2026
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