Individual
MRS. MICHELE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.E.P., M.ED.
Contact information
Practice address
7216 PALM AVE # C, HIGHLAND, CA 92346-3280
(909) 307-4447
Mailing address
7216 PALM AVE # C, HIGHLAND, CA 92346-3280
(909) 307-4447
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
4236
CA
103TC1900X
Counseling Psychologist
Primary
4236
CA
103TC2200X
Clinical Child & Adolescent Psychologist
4236
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
4236
CA
103TS0200X
School Psychologist
4236
CA
Other
Enumeration date
05/07/2022
Last updated
05/14/2022
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