Healthcare Provider Details

I. General information

NPI: 1487006375
Provider Name (Legal Business Name): SARAH NICOLLE EVANS PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2016
Last Update Date: 07/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1214 LIVERPOOL ST
PITTSBURGH PA
15233-1304
US

IV. Provider business mailing address

15 CONCORD DR
IRWIN PA
15642-9134
US

V. Phone/Fax

Practice location:
  • Phone: 412-322-0585
  • Fax:
Mailing address:
  • Phone: 412-780-8098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: