Evans, Patricia

Evans, Patricia is an individual health care provider with primary practice located at 7920 Old Cedar Ave S , Bloomington MN 55425-1207. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Evans, Patricia can be contacted via phone (952) 851-1000.

Contact Information

Primary practice address
7920 Old Cedar Ave S Bloomington MN 55425-1207
Fax: (952) 851-1092
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP1454 Minnesota

Profile Details

NPI number 1841215092
LBN Legal business name Evans, Patricia
Credentials PHD, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
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 1841215092 NPPES
Minnesota MEDICAID 288252300

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