Individual
DR. MARK JOSEPH EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1430 BROADWAY RM 304, NEW YORK, NY 10018-9226
(212) 840-8410
(212) 840-8415
Mailing address
1430 BROADWAY RM 304, NEW YORK, NY 10018-9226
(212) 840-8410
(212) 840-8415
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
014660
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02228926
—
NY
Enumeration date
03/21/2006
Last updated
07/22/2013
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