Individual
DR. JENNIFER LARSEN-EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2193 AHAKU PL, HONOLULU, HI 96821-1012
(818) 220-1539
Mailing address
2193 AHAKU PL, HONOLULU, HI 96821-1012
(818) 220-1539
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY2123
HI
103TC0700X
Clinical Psychologist
PSY27179
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225400000X
DMH
CA
Enumeration date
07/21/2010
Last updated
01/05/2024
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