Evans, Jaclyn Ann

Evans, Jaclyn Ann is an individual health care provider with primary practice located at 435 E Main St , Ansonia CT 06401-1964. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Evans, Jaclyn Ann can be contacted via phone (203) 736-2905.

Contact Information

Primary practice address
435 E Main St Ansonia CT 06401-1964
Phone: (203) 736-2905
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1003000449
LBN Legal business name Evans, Jaclyn Ann
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2007
Last updated Sep 17th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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