Individual
JAMES ROGER EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1200 WOODRUFF RD, BUILDING A-3, GREENVILLE, SC 29607-5730
(864) 678-4725
Mailing address
183 MORNING LAKE DR., MOORE, SC 29369
(864) 595-9038
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
91
SC
103T00000X
Psychologist
Primary
91
SC
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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