Provider Demographics
NPI:1891845384
Name:BRINICH, EVELIN B (PHD)
Entity Type:Individual
Prefix:DR
First Name:EVELIN
Middle Name:B
Last Name:BRINICH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:EVELIN
Other - Middle Name:B
Other - Last Name:BRINICH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:320 GLENDALE DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-5914
Mailing Address - Country:US
Mailing Address - Phone:919-933-6918
Mailing Address - Fax:919-967-5819
Practice Address - Street 1:320 GLENDALE DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-5914
Practice Address - Country:US
Practice Address - Phone:919-933-6918
Practice Address - Fax:919-967-5819
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1597103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist