| Doctor Name: | SEAN R. EVERS |
| NPI Number: | 1154489243 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 35SI00176500 |
| Business Practice Address: | 2421 Atlantic Ave Suite 102 Manasquan, NJ - 087361000 |
| Business Phone Number: | 7325285334 |
| Business Fax Number: | |
| Mailing Address: | 2421 Atlantic Ave, Suite 102 MANASQUAN |
| State: | NJ |
| Postal Code: | 087361000 |
| Phone Number: | 7325285334 |
| Fax Number: | |
| NPI Enumeration Date: | 12/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 35SI00176500 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |