Evans, Patrick A

Evans, Patrick A is an individual health care provider with primary practice located at 2486 Pass Rd , Biloxi MS 39531-2838. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Evans, Patrick A can be contacted via phone (228) 388-6006.

Contact Information

Primary practice address
2486 Pass Rd Biloxi MS 39531-2838
Phone: (228) 388-6006
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 22-272 Mississippi
Behavioral Health & Social Service Providers / Psychologist 103T00000X 22-272 Mississippi
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 22-272 Mississippi

Profile Details

NPI number 1275553810
LBN Legal business name Evans, Patrick A
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jan 22nd, 2020 - about 4 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 1275553810 NPPES
Mississippi MEDICAID 00018213

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