Provider Demographics
NPI:1871657635
Name:EVANS, ANGELA MILLER (MS, EDS)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:MILLER
Last Name:EVANS
Suffix:
Gender:F
Credentials:MS, EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6900 E GOLD DUST AVE
Mailing Address - Street 2:142
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-1461
Mailing Address - Country:US
Mailing Address - Phone:480-575-2814
Mailing Address - Fax:
Practice Address - Street 1:4322 E DESERT WILLOW PARKWAY
Practice Address - Street 2:
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331
Practice Address - Country:US
Practice Address - Phone:480-575-2814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist