Doctor Name: | DR. EVELYN LINDA LLEWELLYN |
NPI Number: | 1770646424 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 3416 |
Business Practice Address: | 112 Shore Rd Old Greenwich, CT - 068702214 |
Business Phone Number: | 2039125547 |
Business Fax Number: | 2036983339 |
Mailing Address: | 112 Shore Rd, OLD GREENWICH |
State: | CT |
Postal Code: | 068702214 |
Phone Number: | 2039125547 |
Fax Number: | 2036983339 |
NPI Enumeration Date: | 12/17/2006 |
NPI Last Update Date: | 11/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 3416 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |