Individual
MEREDYTH ANNE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-6650
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-6650
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071009376
IL
103TC2200X
Clinical Child & Adolescent Psychologist
071009376
IL
Other
Enumeration date
08/23/2016
Last updated
11/02/2016
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