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Individual

DR. TEMPERANCE WICK EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
12039 NE 128TH ST, STE 200, KIRKLAND, WA 98034-3030
(425) 899-3140
(425) 899-3670
Mailing address
PO BOX 34036, SEATTLE, WA 98124-1036
(425) 899-3292
(425) 899-3269

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY16293
CA
103G00000X
Clinical Neuropsychologist
PY60153088
WA
103TC0700X
Clinical Psychologist
Primary
PY60153088
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PSY162930
CA
Enumeration date
11/21/2005
Last updated
03/14/2011
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