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JACLYN ANN EVANS PSY.D. NPI 1003000449

NPI Profile

NPI: 1003000449
Provider Name: JACLYN ANN EVANS, PSY.D.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
435 E MAIN ST
ANSONIA, CT
ZIP 06401

Phone: (203) 736-2905

Jaclyn Ann Evans, PSY.D. is a healthcare provider in Ansonia, CT. Jaclyn Ann Evans, PSY.D. NPI is 1003000449. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

435 E MAIN ST
ANSONIA, CT
ZIP 06401-964
Phone: (203) 736-2905

The enumeration date for this NPI number is 8/29/2007 and was last updated on 9/17/2009.

Map - Location of Practice

Business Address

JACLYN ANN EVANS, PSY.D.
435 E MAIN ST
ANSONIA, CT
ZIP 06401
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Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/10/2018

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.