Evans, Stephanie

Evans, Stephanie is an individual health care provider with primary practice located at 151 Centennial Ave , Piscataway NJ 08854-3907. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Evans, Stephanie can be contacted via phone (732) 235-6183.

Contact Information

Primary practice address
151 Centennial Ave Piscataway NJ 08854-3907
Phone: (732) 235-6183
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1619224334
LBN Legal business name Evans, Stephanie
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2012
Last updated Mar 12th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619224334 NPPES
New Jersey MEDICAID 4144007

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