Organization
KAREN A EVANS PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN A EVANS PHD (PSYCHOLOGIST)
(937) 307-5949
Entity
Organization
Contact information
Practice address
7061 CORPORATE WAY STE 110, DAYTON, OH 45459-4244
(937) 307-5949
Mailing address
6091 SINGLE TREE LN, DAYTON, OH 45459-2423
(937) 307-5949
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5896
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0333760
—
OH
Enumeration date
07/26/2018
Last updated
02/08/2019
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