Clea C Evans in Jackson - Clinical Neuropsychologist
Clea C Evans - NPI 1942359096
Clea C Evans is a Clinical Neuropsychologist in Jackson, Mississippi. Clea C Evans practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Clea C Evans is 1942359096. The last update date is 2007-07-09.
Clea C Evans's current location address is 1350 E Woodrow Wilson Ave, Jackson, Mississippi. You can contact this provider via phone number 6019812611. The mailing address for Clea C Evans is 1350 E Woodrow Wilson Ave, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clea C Evans |
|---|---|
| Address | 1350 E Woodrow Wilson Ave, Jackson, Mississippi |
| Phone Number | 6019812611 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1942359096 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1350 E Woodrow Wilson Ave |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392165112 |
| Phone Number | 6019812611 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 41-679 |
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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 |
|---|---|---|---|
| 1355624 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Clea C Evans by the Centers for Medicare & Medicaid Services?
The Clea C Evans has been assigned the NPI (National Provider Identifier) 1942359096 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Clea C Evans is geographically located?
The Clea C Evans is physically situated at the following location: 1350 E Woodrow Wilson Ave, Jackson, MS, 392165112.
What is the area of specialization for Clea C Evans, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Clea C Evans is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103G00000X.
On what date did Clea C Evans receive its 1942359096 assignment from the Centers for Medicare & Medicaid Services?
The Clea C Evans was assigned its 1942359096 on 2007-01-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Clea C Evans most recently updated?
The details pertaining to the Clea C Evans, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.
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