Evans, Andrea Dawn

Evans, Andrea Dawn is an individual health care provider with primary practice located at 1740 Central Ave , Ashland KY 41101-7653. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Evans, Andrea Dawn can be contacted via phone (606) 585-7897.

Contact Information

Primary practice address
1740 Central Ave Ashland KY 41101-7653
Phone: (606) 585-7897
Fax: (833) 922-1959
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 128894 Kentucky

Profile Details

NPI number 1649227448
LBN Legal business name Evans, Andrea Dawn
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Jun 12th, 2020 - 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 1649227448 NPPES
Kentucky Other 0920801 PTAN
Kentucky MEDICAID 2527555 PTAN
Kentucky Other 128894 PTAN

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