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Individual

GARRET D EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
3701-2 NW 40 TERRACE, GAINESVILLE, FL 32606
(352) 372-8000
(352) 338-7710
Mailing address
4101A NW 37 PLACE, GAINESVILLE, FL 32606
(352) 372-8000
(352) 338-7710

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY000SS61
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
74492
BCBS
Enumeration date
09/08/2006
Last updated
07/08/2007
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