Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | ||
N | 103T00000X | Psychologist | ||
N | 103TC1900X | Counseling Psychologist | ||
N | 103TM1800X | Intellectual & Developmental Disabilities | ||
N | 104100000X | Social Worker | ||
N | 106E00000X | Assistant Behavior Analyst |
NPI | 1033881743 |
---|---|
Provider Name | Tamara D Evans |
First Address | Hamilton, OH 45013-2839 |
Second Address | Hamilton, OH 45013-2839 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2021 |
Last Update Date | 30/09/2021 |