Active NPIIndividual providerSole proprietor

D. M Evans, PHD

Psychologist in Providence, Rhode Island

NPI Number1063562254
Practice location
345 Blackstone Blvd, Providence, RI 02906-4800
Fax
401-455-6293
Last updated
July 8, 2007

D. Matthew Evans is a Psychologist based in Providence, RI. D. Matthew Evans practices in Providence, RI and has the professional credentials of PHD. The NPI Number for D. Matthew Evans is 1063562254 and holds a License No. PS00526 (RI). The current practice location address for D. Matthew Evans is 345 Blackstone Blvd, Providence, RI 02906-4800 and can be reached out via phone at 401-274-1423 and via fax at 401-455-6293.

Provider Profile Details

NPI Number
1063562254
Provider Name
D. Matthew Evans
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
345 Blackstone Blvd, Providence, RI 02906-4800
Phone Number
401-274-1423
Fax Number
401-455-6293
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 11, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
345 Blackstone Blvd
Providence, RI 02906-4800
Zip
02906-4800
Phone Number
401-274-1423
Fax Number
401-455-6293
Providence, RI 02906Get directions →

Provider Business Mailing Address Details

Address
345 Blackstone Blvd
Providence, RI 02906-4800
City
Providence
State
RI
Zip
02906-4800
Phone Number
401-274-1423
Fax Number
401-455-6293

License Information

License Number
PS00526
License State
RI
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of D. M Evans, PHD?

The NPI number of D. M Evans, PHD is 1063562254. It was assigned on January 11, 2007 and is currently active in the NPPES registry.

What is the specialty of D. M Evans, PHD?

D. M Evans, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in RI under license number PS00526.

Where does D. M Evans, PHD practice?

The practice location is 345 Blackstone Blvd, Providence, RI 02906-4800. The office can be reached at 401-274-1423 (phone) or 401-455-6293 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063562254 directly on the NPPES registry website.

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