Lance Evans is a Clinical in Augusta, Georgia. Lance Evans practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lance Evans is 1235179078. The last update date is 2019-10-28.
Lance Evans's current location address is 1120 15th Street, Augusta, Georgia. You can contact this provider via phone number 7067213871. The mailing address for Lance Evans is 1120 15th Street, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lance Evans |
|---|---|
| Address | 1120 15th Street, Augusta, Georgia |
| Phone Number | 7067213871 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD. |
NPI Number Detail
| NPI Number | 1235179078 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2019-10-28 |
Provider Mailing Address Detail
| Address | 1120 15th Street |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 30912 |
| Phone Number | 7067213871 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY003597 |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 003124605B | GA | -- | |
| PSY003597 | GA | GA LICENSE |
Post Comment/ Review Below
What is the Lance Evans's 1235179078?
The Lance Evans's NPI (National Provider Identifier) Number is 1235179078. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Lance Evans's facilities are geographically located?
The facilities of Lance Evans are physically situated at the following location: 1120 15Th Street, Augusta, GA, 30912.
What is Lance Evans's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lance Evans is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
When did Lance Evans receive its 1235179078 assignment?
The Lance Evans was assigned its 1235179078 on 2006-06-08, which is the date when this unique identifier was issued to the organization.
When was the information regarding Lance Evans most recently updated?
The details pertaining to the Lance Evans, including its address, specialty, and other relevant information, were last refreshed on 2019-10-28.
Address: Po Box 2333, Clay, NY
Address: 850 N Harrison St, Warsaw, IN
Address: 1143 Deer Trail Ln, Solvang, CA
Address: 7840 Oracle Pl, Potomac, MD
Address: Po Box 1289, Tampa, FL
Address: 727 N Waco Ave, Wichita, KS
Address: 1115 Elkton Dr, Colorado Springs, CO
Address: 501 S Washington St, Swayzee, IN
Address: 1709 Colley Ave, Norfolk, VA
Address: 3500 Depauw Blvd Ste 3070, Indianapolis, IN
Address: 54045 Ridge Rd, Yucca Valley, CA
Address: 7600 Osler Dr, Towson, MD
Address: 3000 Citrus Cir, Walnut Creek, CA
Address: 41 Park Ave, New York, NY
Address: 1935 County Road B2 W Ste 270, Roseville, MN