Individual
LANCE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD.
Contact information
Practice address
2740 VILLAGE PROFESSIONAL DR, OPELIKA, AL 36801-2379
(334) 528-3871
(334) 528-3888
Mailing address
2740 VILLAGE PROFESSIONAL DR, OPELIKA, AL 36801-2379
(334) 528-3871
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2396
AL
103TC0700X
Clinical Psychologist
PSY003597
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003124605B
—
GA
01
—
PSY003597
GA LICENSE
GA
Enumeration date
06/08/2006
Last updated
04/25/2025
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