Doctor Name: | ANITA LOSOYA-EVON |
NPI Number: | 1003204272 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | |
Business Practice Address: | 2711 W 15th St Panama City, FL - 324011366 |
Business Phone Number: | 8507696001 |
Business Fax Number: | |
Mailing Address: | 211 Aspen Cir, DOTHAN |
State: | AL |
Postal Code: | 363032832 |
Phone Number: | 3347917551 |
Fax Number: | |
NPI Enumeration Date: | 12/22/2014 |
NPI Last Update Date: | 12/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |