Evans, Wyatt R
Evans, Wyatt R is an individual health care provider with primary practice located at 1723 E Southlake Blvd Ste 120 , Southlake TX 76092. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Evans, Wyatt R can be contacted via phone (940) 368-2664.Contact Information
Primary practice address
1723 E Southlake Blvd Ste 120
Southlake TX 76092
Phone: (940) 368-2664
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X |
Profile Details
| NPI number | 1184147555 |
|---|---|
| LBN Legal business name | Evans, Wyatt R |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2017 |
| Last updated | Jul 21st, 2022 - about 2 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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