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
Phone: (254) 252-3748
Fax: (254) 549-0086
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1932176872 | NPPES |
Texas | Other | 33721 | LICENSE |
Texas | Other | 3235 | LICENSE |
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