Provider Demographics
NPI:1487006375
Name:EVANS, SARAH NICOLLE (PSYD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:NICOLLE
Last Name:EVANS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 CONCORD DR
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-9134
Mailing Address - Country:US
Mailing Address - Phone:412-780-8098
Mailing Address - Fax:
Practice Address - Street 1:1214 LIVERPOOL ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15233-1304
Practice Address - Country:US
Practice Address - Phone:412-322-0585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-05
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool