Individual
DR. RAVEN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3675 CRESTWOOD PKWY NW STE 400, DULUTH, GA 30096-5054
(352) 434-9707
Mailing address
3675 CRESTWOOD PKWY NW STE 400, DULUTH, GA 30096-5054
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY004435
—
103TC0700X
Clinical Psychologist
Primary
PSY004435
GA
Other
Enumeration date
10/07/2020
Last updated
07/12/2022
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