Individual
DR. KEITH EVASHEVSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1050 N 3RD ST, SUITE B1, LARAMIE, WY 82072-2544
(307) 742-9766
Mailing address
1214 SHIELD ST, LARAMIE, WY 82072-2244
(307) 761-0615
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
382
WY
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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