Individual
DR. EVAN B. DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
28 THORNDAL CIR STE 3, DARIEN, CT 06820-5429
(203) 309-2707
(877) 951-2288
Mailing address
23 NICKERSON LN, DARIEN, CT 06820-5720
(203) 309-2707
(877) 951-2288
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
003265
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008053170
—
CT
Enumeration date
11/22/2006
Last updated
03/19/2019
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