Provider Demographics
NPI:1356529218
Name:EVALUATION SPECIALISTS, INC.
Entity type:Organization
Organization Name:EVALUATION SPECIALISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATI
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:757-373-3449
Mailing Address - Street 1:1709 COLLEY AVE
Mailing Address - Street 2:SUITE 306
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23517-1675
Mailing Address - Country:US
Mailing Address - Phone:757-373-3449
Mailing Address - Fax:757-351-6284
Practice Address - Street 1:1709 COLLEY AVE
Practice Address - Street 2:SUITE 306
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23517-1675
Practice Address - Country:US
Practice Address - Phone:757-373-3449
Practice Address - Fax:757-351-6284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-03
Last Update Date:2008-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810003449103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty