Evans, Judith

Evans, Judith is an sole proprietor health care provider with primary practice located at 915 Broadway 1309, New York NY 10010-7108. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalyst, which is considered as her primary health care specialty. Evans, Judith can be contacted via phone (212) 714-7126.

Contact Information

Primary practice address
915 Broadway 1309 New York NY 10010-7108
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X 000106 New York

Profile Details

NPI number 1649478504
LBN Legal business name Evans, Judith
Credentials LP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2007
Last updated Jul 8th, 2007 - about 17 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 1649478504 NPPES
New York Other 000106 LICENSE

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