Individual
KAREN A EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7061 CORPORATE WAY STE 210, DAYTON, OH 45459-4273
(937) 307-5949
Mailing address
6091 SINGLE TREE LN, DAYTON, OH 45459-2423
(937) 307-5949
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5896
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2404633
—
OH
Enumeration date
08/10/2006
Last updated
02/08/2019
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