Evans, Elizabeth G

Evans, Elizabeth G is an individual health care provider with primary practice located at 1600 Medical Center Dr Suite B500, Huntington WV 25701-3656. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Evans, Elizabeth G can be contacted via phone (304) 691-1500.

Contact Information

Primary practice address
1600 Medical Center Dr Suite B500 Huntington WV 25701-3656
Phone: (304) 691-1500
Fax: (304) 691-1510
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 442 West Virginia
Behavioral Health & Social Service Providers / School 103TS0200X 22037 West Virginia

Profile Details

NPI number 1043271232
LBN Legal business name Evans, Elizabeth G
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Jan 19th, 2011 - about 13 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 1043271232 NPPES
West Virginia MEDICAID 0163537001
West Virginia MEDICAID 0813712

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