Evans, Bradley B

Evans, Bradley B is an sole proprietor health care provider with primary practice located at 3800 S W S Young Dr Ste 407 , Killeen TX 76542-3374. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Evans, Bradley B can be contacted via phone (254) 252-3748.

Contact Information

Primary practice address
3800 S W S Young Dr Ste 407 Killeen TX 76542-3374
Fax: (254) 549-0086
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 33721 Texas

Profile Details

NPI number 1932176872
LBN Legal business name Evans, Bradley B
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2006
Last updated Feb 7th, 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 1932176872 NPPES
Texas Other 33721 LICENSE
Texas Other 3235 LICENSE

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