Individual
DR. ROBERT J MCEVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
235 MAIN ST, DANBURY HOSPITAL MAIN STREET PHYSICAL REHAB CENTER, DANBURY, CT 06810
(203) 730-5967
(203) 730-5905
Mailing address
10 BEAR MTN RD, NEW FAIRFIELD, CT 06812
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
000822
CT
103TC0700X
Clinical Psychologist
0060371
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10743582
CAQH
—
01
—
P963826
OXFORD
—
Enumeration date
02/21/2007
Last updated
07/08/2007
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