| Doctor Name: | MRS. ELIZABETH ANN EVANS |
| NPI Number: | 1497811004 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 37PC00283000 |
| Business Practice Address: | 130 Powerville Rd Boonton, NJ - 070058705 |
| Business Phone Number: | 9733161905 |
| Business Fax Number: | |
| Mailing Address: | 21 Wendover Rd, DENVILLE |
| State: | NJ |
| Postal Code: | 078341739 |
| Phone Number: | 9736255120 |
| Fax Number: | |
| NPI Enumeration Date: | 12/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC00283000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |