Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 019178 | NY |
Y | 103TC0700X | Clinical Psychologist | 019178 | NY |
N | 103G00000X | Clinical Psychologist | 1179 | LA |
N | 103TC0700X | Clinical Psychologist | 1179 | LA |
N | 103G00000X | Clinical Psychologist | 1198 | SC |
N | 103TC0700X | Clinical Psychologist | 1198 | SC |
N | 103G00000X | Clinical Psychologist | 35SI00556200 | NJ |
N | 103TC0700X | Clinical Psychologist | 35SI00556200 | NJ |
N | 103G00000X | Clinical Psychologist | 019178 | NY |
N | 103TC0700X | Clinical Psychologist | 019178 | NY |
N | 103G00000X | Clinical Psychologist | 1179 | LA |
N | 103TC0700X | Clinical Psychologist | 1179 | LA |
N | 103G00000X | Clinical Psychologist | 1198 | SC |
N | 103TC0700X | Clinical Psychologist | 1198 | SC |
N | 103TF0200X | Forensic Psychologist | 019178 | NY |
NPI | 1003165069 |
---|---|
Provider Name | Dr. Dian Evans |
First Address | New Orleans, LA 70118-4876 |
Second Address | New Orleans, LA 70118-4876 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2012 |
Last Update Date | 07/06/2016 |