Individual
DR. EVAN JOHN LIMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1930 BLACK LAKE BLVD SW STE 102, OLYMPIA, WA 98512-5651
(360) 347-6172
Mailing address
1930 BLACK LAKE BLVD SW STE 102, OLYMPIA, WA 98512-5651
(360) 347-6172
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
RC60063415
WA
103G00000X
Clinical Neuropsychologist
PY60969939
WA
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
Primary
PY60969939
WA
103TC2200X
Clinical Child & Adolescent Psychologist
PY60969939
WA
Other
Enumeration date
02/17/2009
Last updated
11/04/2020
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