Evans, Marsha

Evans, Marsha is an individual health care provider with primary practice located at 100 Prison Rd , Represa CA 95671-3000. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Forensic is her primary health care specialty. Evans, Marsha can be contacted via phone (860) 655-3753.

Contact Information

Primary practice address
100 Prison Rd Represa CA 95671-3000
Phone: (860) 655-3753
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Forensic 103TF0200X

Profile Details

NPI number 1043795875
LBN Legal business name Evans, Marsha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2018
Last updated Sep 27th, 2018 - about 6 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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