Individual
SUSAN M EVANS
Active
Individual
SUSAN M EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PS-005771-L
PA
103T00000X
Psychologist
PS-005771-L
PA
103TC1900X
Counseling Psychologist
Primary
PS005771L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013543460003
—
PA
05
—
1013543460004
—
PA
05
—
1013543460005
—
PA
Enumeration date
06/22/2005
Last updated
08/23/2025
Update your record
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