Individual
DR. ANDREA DAWN EVANS
Active
Individual
DR. ANDREA DAWN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
128894
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0920801
PTAN
KY
01
—
128894
KENTUCKY BOARD OF EXAMINERS OF PSYCHOLOGY
KY
05
—
2527555
—
KY
Enumeration date
05/27/2006
Last updated
06/12/2020
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