Individual
DR. NEIL L. EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
2327 JAMESTOWN AVE., INDEPENDENCE, IA 50644-9791
(319) 334-4823
Mailing address
2327 JAMESTOWN AVE., INDEPENDENCE, IA 50644-9791
(319) 334-4823
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
117
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109124
—
IA
01
—
117
PSYCHOLOGY LICENSE NUMBER
IA
Enumeration date
10/02/2006
Last updated
07/08/2007
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