Individual
DR. DANIEL R EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
314 NE THORNTON PL, SEATTLE, WA 98125-9000
(206) 520-2300
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
(206) 520-2450
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60684329
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265988737
—
WA
Enumeration date
08/25/2016
Last updated
11/16/2016
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