Individual
MRS. LISA MARIE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCSP
Contact information
Practice address
902 W MAIN ST, PAYSON, AZ 85541-4887
(928) 472-5800
(928) 472-2008
Mailing address
PO BOX 919, PAYSON, AZ 85547-0919
(928) 472-5800
(928) 472-2008
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4016647
AZ
Other
Enumeration date
07/25/2008
Last updated
09/23/2010
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