Healthcare Provider Details

I. General information

NPI: 1669727202
Provider Name (Legal Business Name): SARAH STEPHENSON EVANS M.A., PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2012
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24511 W JAYNE AVE
COALINGA CA
93210-9516
US

IV. Provider business mailing address

PO BOX 223
FAIRVIEW NC
28730-0223
US

V. Phone/Fax

Practice location:
  • Phone: 559-935-4300
  • Fax:
Mailing address:
  • Phone: 843-810-4179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License NumberPSY29238
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: