Individual
JEFFREY E EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
325 EAST EISENHOWER PKWY, SUITE 300, ANN ARBOR, MI 48108-5744
(734) 936-7052
Mailing address
3621 S STATE ST, 700 KMS PL, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301002580
MI
Other
Enumeration date
11/14/2006
Last updated
04/03/2014
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