Clea C Evans is a Clinical in Jackson, Mississippi. Clea C Evans practices all healthcare services and medical treatments related to Clinical. 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 |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 41-679 |
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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 |
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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, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
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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