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General NPI Number Information
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NPI Number | 1861902280
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Entity Type | Organization
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Legal Business Name | JULIA EVANS PHD PSYCHOLOGY PC
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Dates
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Enumeration Date | 10/11/2017
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 940 S COAST DR STE 225
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City | COSTA MESA
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State | CA
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Zip | 92626-7757
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Country | US
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Telephone | 949-743-1457
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Fax | 974-274-8299
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Provider Business Mailing Address
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Address Line | 940 S COAST DR STE 225
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City | COSTA MESA
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State | CA
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Zip | 92626-7757
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Country | US
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Telephone | 949-743-1457
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Fax |
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Authorized Official
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Title or Position | OWNER/ NEUROPSYCHOLOGIST
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Name | DR. JULIA EVANS
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Credential | PHD
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Telephone | 949-981-4566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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