| Doctor Name: | DANIEL P EVATT |
| NPI Number: | 1073894838 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 04857 |
| Business Practice Address: | 1311 Londontown Blvd Suite 130a Eldersburg, MD - 217846454 |
| Business Phone Number: | 4105520773 |
| Business Fax Number: | 4105493197 |
| Mailing Address: | Po Box 1229, SYKESVILLE |
| State: | MD |
| Postal Code: | 217841229 |
| Phone Number: | 4105493196 |
| Fax Number: | 4105493197 |
| NPI Enumeration Date: | 09/07/2011 |
| NPI Last Update Date: | 09/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 04857 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |