| Doctor Name: | DR. TRENT H. EVANS |
| NPI Number: | 1497922322 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 04383 |
| Business Practice Address: | 7827 Wise Ave Dundalk, MD - 212223339 |
| Business Phone Number: | 4102827222 |
| Business Fax Number: | |
| Mailing Address: | 7827 Wise Ave, DUNDALK |
| State: | MD |
| Postal Code: | 212223339 |
| Phone Number: | 4102827222 |
| Fax Number: | |
| NPI Enumeration Date: | 05/09/2008 |
| NPI Last Update Date: | 10/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 04383 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |