Individual
DR. BRADLEY B EVANS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3800 S W S YOUNG DR STE 407, KILLEEN, TX 76542-3374
(254) 252-3748
(254) 549-0086
Mailing address
5644 MARSHALL CREEK DR, COLORADO SPRINGS, CO 80924-8104
(719) 337-2529
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
33721
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3235
LICENSE
CO
01
—
33721
LICENSE
TX
Enumeration date
02/28/2006
Last updated
02/07/2019
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