Individual
LANCE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2396
AL
103TC0700X
Clinical Psychologist
PSY003597
GA
103TC0700X
Clinical Psychologist
PY11257
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003124605B
—
GA
01
—
PSY003597
GA LICENSE
GA
Enumeration date
06/08/2006
Last updated
06/27/2026
Update your record
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