Individual
DR. MARK KENDAL EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2650 MADISON RD, CINCINNATI, OH 45208-1332
(513) 772-9300
(513) 772-9302
Mailing address
2650 MADISON RD, CINCINNATI, OH 45208-1332
(513) 772-9300
(513) 772-9302
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4512
OH
103TC0700X
Clinical Psychologist
825
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0897918
—
OH
Enumeration date
04/12/2007
Last updated
01/03/2012
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