Individual
EMELI EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3174 CUSTER DR STE B, LEXINGTON, KY 40517-4000
(859) 603-0020
Mailing address
3174 CUSTER DR STE B, LEXINGTON, KY 40517-4000
(859) 603-0020
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
459988
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
01/31/2017
Last updated
01/10/2024
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