Individual
DR. WYATT R EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1723 E SOUTHLAKE BLVD STE 120, SOUTHLAKE, TX 76092
(940) 368-2664
Mailing address
1723 E SOUTHLAKE BLVD STE 120, SOUTHLAKE, TX 76092-6445
(940) 368-2664
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/18/2017
Last updated
07/21/2022
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