Evan B. Drake in Darien - Clinical Neuropsychologist
Evan B. Drake - NPI 1336214477
Evan B. Drake is a Clinical Neuropsychologist in Darien, Connecticut. Evan B. Drake practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Evan B. Drake is 1336214477. The last update date is 2019-03-19.
Evan B. Drake's current location address is 23 Nickerson Ln, Darien, Connecticut. You can contact this provider via phone number 2033092707 and fax number 8779512288. The mailing address for Evan B. Drake is 23 Nickerson Ln, Darien, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evan B. Drake |
|---|---|
| Address | 23 Nickerson Ln, Darien, Connecticut |
| Phone Number | 2033092707 |
| Fax Number | 8779512288 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1336214477 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2019-03-19 |
Provider Mailing Address Detail
| Address | 23 Nickerson Ln |
|---|---|
| City | Darien |
| State | Connecticut (CT) |
| Post Code | 68205720 |
| Phone Number | 2033092707 |
| Fax Number | 8779512288 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 3265 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8053170 | CT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Evan B. Drake by the Centers for Medicare & Medicaid Services?
The Evan B. Drake has been issued the NPI (National Provider Identifier) 1336214477 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Evan B. Drake?
The Evan B. Drake is situated at 23 Nickerson Ln, in the city of Darien, state of CT, with the zip code 68205720.
What is Evan B. Drake's area of expertise and its corresponding taxonomy classification?
The Evan B. Drake's field of specialization is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Evan B. Drake receive the assignment of its 1336214477 from the Centers for Medicare & Medicaid Services?
The Evan B. Drake was issued its 1336214477 by the Centers for Medicare & Medicaid Services on 2006-11-22.
When was the information pertaining to Evan B. Drake most recently updated or revised?
The details related to Evan B. Drake, including its address, specialty, and other relevant information, were last updated or revised on 2019-03-19.
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