| Doctor Name: | MR. BARRY LEROY EVANS |
| NPI Number: | 1023177201 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MASTER SOCIAL WORK |
| License Number: | 391 |
| Business Practice Address: | 1125 6th Street Se Woodland Centers Willmar, MN - 562014675 |
| Business Phone Number: | 3202319148 |
| Business Fax Number: | 3202319140 |
| Mailing Address: | 5285 County Road 4 Ne, ATWATER |
| State: | MN |
| Postal Code: | 56209 |
| Phone Number: | 3202354613 |
| Fax Number: | 3202319140 |
| NPI Enumeration Date: | 12/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 391 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |