Individual
PATRICIA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
7920 OLD CEDAR AVE S, BLOOMINGTON, MN 55425-1207
(952) 851-1000
(952) 851-1092
Mailing address
1021 BANDANA BLVD E, SUITE 200, SAINT PAUL, MN 55108-5113
(651) 642-2700
(651) 642-9441
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1454
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288252300
—
MN
Enumeration date
07/12/2006
Last updated
07/08/2007
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