Organization
FAMILY SUCCESS CONSORTIUM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK KENDAL EVANS PSY.D. (PSYCHOLOGIST/PRESIDENT)
(513) 772-9300
Entity
Organization
Contact information
Practice address
11497 SPRINGFIELD PIKE, CINCINNATI, OH 45246-3551
(513) 772-9300
(513) 772-9302
Mailing address
11497 SPRINGFIELD PIKE, CINCINNATI, OH 45246-3551
(513) 772-9300
(513) 772-9302
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4512
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0903848
—
OH
Enumeration date
08/07/2007
Last updated
06/23/2010
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