Evans, Julia
Evans, Julia is an sole proprietor health care provider with primary practice located at 940 S Coast Dr Ste 225 , Costa Mesa CA 92626-7757. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Evans, Julia can be contacted via phone (949) 743-1457.Contact Information
Primary practice address
940 S Coast Dr Ste 225
Costa Mesa CA 92626-7757
Phone: (949) 743-1457
Fax: (949) 274-8299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY28398 | California |
Profile Details
| NPI number | 1760924849 |
|---|---|
| LBN Legal business name | Evans, Julia |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2016 |
| Last updated | Jul 12th, 2021 - about 3 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 | 1760924849 | NPPES |
| California | Other | PSY28398 | LICENSE |
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