Drake, Evan B.

Drake, Evan B. is an sole proprietor health care provider with primary practice located at 28 Thorndal Cir Ste 3 , Darien CT 06820-5429. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Drake, Evan B. can be contacted via phone (203) 309-2707.

Contact Information

Primary practice address
28 Thorndal Cir Ste 3 Darien CT 06820-5429
Phone: (203) 309-2707
Fax: (877) 951-2288
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 003265 Connecticut

Profile Details

NPI number 1336214477
LBN Legal business name Drake, Evan B.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2006
Last updated Mar 19th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336214477 NPPES
Connecticut MEDICAID 008053170

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