Doctor Name: | MR. WILLIAM L EVANS |
NPI Number: | 1770617391 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 2029-C |
Business Practice Address: | 1900 Pine St N Little Rock, AR - 721142401 |
Business Phone Number: | 5017718261 |
Business Fax Number: | 5017718263 |
Mailing Address: | 1900 Pine St, N LITTLE ROCK |
State: | AR |
Postal Code: | 721142401 |
Phone Number: | 5017718261 |
Fax Number: | 5017718263 |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 03/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2029-C |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |