Individual
JULIA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
940 S COAST DR STE 225, COSTA MESA, CA 92626-7757
(949) 743-1457
(949) 274-8299
Mailing address
940 S COAST DR STE 225, COSTA MESA, CA 92626-7757
(949) 743-1457
(949) 274-8299
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY28398
CA
103TC0700X
Clinical Psychologist
PSY28398
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY28398
LICENSE
CA
Enumeration date
11/07/2016
Last updated
08/12/2024
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