Individual
DR. EVAN VINCENT VIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1518 WALNUT ST STE 1702, PHILADELPHIA, PA 19102-3409
(856) 249-0757
Mailing address
1500 LOCUST ST APT 3708, PHILADELPHIA, PA 19102-4325
(203) 803-6912
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PS020328
PA
103TB0200X
Cognitive & Behavioral Psychologist
—
—
Other
Enumeration date
09/12/2022
Last updated
07/15/2025
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