Linda A. Evans, Ph.d., Pa | |
101 N Ocean Dr Suite 212 Hollywood FL 33019-1728 | |
(954) 699-9660 | |
(964) 921-9126 |
Full Name | Linda A. Evans, Ph.d., Pa |
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Speciality | Psychologist |
Location | 101 N Ocean Dr, Hollywood, Florida |
Authorized Official Name and Position | Linda Ann Evans (LICENSED PSYCHOLOGIST/OWNER) |
Authorized Official Contact | 9546999660 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Linda A. Evans, Ph.d., Pa 101 N Ocean Dr Suite 212 Hollywood FL 33019-1728 Ph: (954) 699-9660 | Linda A. Evans, Ph.d., Pa 101 N Ocean Dr Suite 212 Hollywood FL 33019-1728 Ph: (954) 699-9660 |
NPI Number | 1902998131 |
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Provider Enumeration Date | 09/28/2006 |
Last Update Date | 09/29/2008 |
Medicare PECOS PAC ID | 1658379664 |
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Medicare Enrollment ID | O20061129000087 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902998131 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Linda A Evans |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1780698944 PECOS PAC ID: 9830115369 Enrollment ID: I20051024000316 |
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