TED D EVANS

ENCINO, CA
NPI1396049201
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY4732)
Enumeration Date2011-01-06
Last Update Date2011-01-06
Business Address
-- TED D EVANS Ph.D
5363 BALBOA BLVD
ENCINO, CA 91316-2805
Phone number: 818-986-8430
Mailing Address
-- TED D EVANS Ph.D
5363 BALBOA BLVD SUITE 437
ENCINO, CA 91316-2805
Phone number: 818-986-8430
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