Doctor Name: | DR. HARRY MONROE EVANS |
NPI Number: | 1609803501 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 23061 |
Business Practice Address: | 5924 Royal Lane Suite 270 Dallas, TX - 752303857 |
Business Phone Number: | 2143697104 |
Business Fax Number: | |
Mailing Address: | 5924 Royal Lane, Suite 270 DALLAS |
State: | TX |
Postal Code: | 752303857 |
Phone Number: | 2143697104 |
Fax Number: | |
NPI Enumeration Date: | 06/27/2006 |
NPI Last Update Date: | 09/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 23061 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |