Evans, Colleen

Evans, Colleen is an individual health care provider with primary practice located at 118 Central St , Waltham MA 02453-5465. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Evans, Colleen can be contacted via phone (718) 891-0555.

Contact Information

Primary practice address
118 Central St Waltham MA 02453-5465
Phone: (718) 891-0555
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 115416 Massachusetts

Profile Details

NPI number 1609926153
LBN Legal business name Evans, Colleen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Jan 16th, 2014 - about 10 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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