| Doctor Name: | THOMAS MICHAEL EVANS |
| NPI Number: | 1346574142 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 5051 |
| Business Practice Address: | 35590 Center Ridge Rd 102 North Ridgeville, OH - 440396000 |
| Business Phone Number: | 4403272388 |
| Business Fax Number: | |
| Mailing Address: | 35590 Center Ridge Rd, 102 NORTH RIDGEVILLE |
| State: | OH |
| Postal Code: | 440396000 |
| Phone Number: | 4403272388 |
| Fax Number: | |
| NPI Enumeration Date: | 09/25/2009 |
| NPI Last Update Date: | 09/25/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0200X |
| License Number: | 5051 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Forensic |
| Taxonomy Definition: | |