Individual
DR. THOMAS JAY EVANS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 473-1880
Mailing address
PO BOX 2171, AIEA, HI 96701-8171
(808) 551-0490
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY18561
CA
103TC0700X
Clinical Psychologist
Primary
PSY594
HI
Other
Enumeration date
10/25/2005
Last updated
07/08/2007
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