| William J. Evans Phd Inc. | |
|
10 Snyder Rd Ste 2 Hermitage PA 16148-3432 | |
| (724) 813-1969 | |
| Not Available |
| Full Name | William J. Evans Phd Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10 Snyder Rd Ste 2, Hermitage, Pennsylvania |
| Authorized Official Name and Position | William J Evans (OWNER) |
| Authorized Official Contact | 7238131969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William J. Evans Phd Inc. 10 Snyder Rd Ste 2 Hermitage PA 16148-3432 Ph: (724) 813-1969 | William J. Evans Phd Inc. 10 Snyder Rd Ste 2 Hermitage PA 16148-3432 Ph: (724) 813-1969 |
| NPI Number | 1871070870 |
|---|---|
| Provider Enumeration Date | 07/23/2018 |
| Last Update Date | 07/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871070870 | NPI | - | NPPES |
| 1024061510002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC003010 (Pennsylvania) | Primary |
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