Provider Demographics
NPI:1982858064
Name:BESTMAN, EVALINA WILLIAMS (PHD)
Entity Type:Individual
Prefix:DR
First Name:EVALINA
Middle Name:WILLIAMS
Last Name:BESTMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1065 NE 125TH ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-5821
Mailing Address - Country:US
Mailing Address - Phone:305-895-4220
Mailing Address - Fax:305-895-4168
Practice Address - Street 1:1065 NE 125TH ST
Practice Address - Street 2:SUITE 207
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-5821
Practice Address - Country:US
Practice Address - Phone:305-895-4220
Practice Address - Fax:305-895-4168
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-16
Last Update Date:2008-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY2724103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical