Evans, Thomas Jay

Evans, Thomas Jay is an individual health care provider with primary practice located at 480 Central Ave , Pearl Harbor HI 96860-4908. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Evans, Thomas Jay can be contacted via phone (808) 473-1880.

Contact Information

Primary practice address
480 Central Ave Pearl Harbor HI 96860-4908
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY594 Hawaii
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY18561 California

Profile Details

NPI number 1669462396
LBN Legal business name Evans, Thomas Jay
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
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.

Request for update

Popular Providers