Individual
DR. EVANS EMMETT HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
852 COUNTRY CLUB ROAD, ROCKY MOUNT, NC 27804
(252) 443-4401
(252) 972-4502
Mailing address
852 COUNTRY CLUB ROAD, ROCKY MOUNT, NC 27804
(252) 443-4401
(252) 972-4502
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0622
NC
103TC0700X
Clinical Psychologist
Primary
0622
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03712
BCBS
NC
05
—
6000111
—
NC
Enumeration date
10/10/2006
Last updated
02/13/2017
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