Evans, Temperance Wick

Evans, Temperance Wick is an individual health care provider with primary practice located at 12039 Ne 128Th St Ste 200, Kirkland WA 98034-3030. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Evans, Temperance Wick can be contacted via phone (425) 899-3140.

Contact Information

Primary practice address
12039 Ne 128Th St Ste 200 Kirkland WA 98034-3030
Phone: (425) 899-3140
Fax: (425) 899-3670
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY16293 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY60153088 Washington
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY60153088 Washington

Profile Details

NPI number 1972585305
LBN Legal business name Evans, Temperance Wick
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Mar 14th, 2011 - about 13 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 1972585305 NPPES
California MEDICAID PSY162930

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