Individual
DR. ANNE ELIZABETH EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LMFT
Contact information
Practice address
65 E. ELIZABETH AVE., SUITE 612, BETHLEHEM, PA 18018
(484) 866-7346
Mailing address
65 E. ELIZABETH AVE, SUITE 612, BETHLEHEM, PA 18018
(484) 866-7346
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS4914L
PA
103TC0700X
Clinical Psychologist
Primary
PS4914-L
PA
106H00000X
Marriage & Family Therapist
MF000069
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010895800
IBC
—
01
—
01872801
CBC
—
01
—
02751300
GR
—
01
—
501528
HIGHMARK B.S.
PA
Enumeration date
04/19/2006
Last updated
01/21/2010
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