National Provider Identifier

Carol Suzanne Evans, PH.D.

Carol Suzanne Evans, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Williamsville, NY and a listed phone number of (716) 626-7492.

NPI 1164420873Williamsville, NYClinical Psychologist

Profile Overview

NPI
1164420873
Provider Type
Individual
Primary Specialty
Clinical Psychologist
Enumeration Date
July 07, 2005
Last Updated
July 08, 2007

Practice Location

  • 37 S Cayuga RD
  • Williamsville, NY 14221-6705

Phone: (716) 626-7492

Specialties

  • Clinical Psychologist (103TC0700X)
Full Record
NPI
1164420873
Entity Type
Individual
Last Name
Evans
First Name
Carol
Middle Name
Suzanne
Name Prefix
Dr.
Credential
PH.D.
Provider Other Last Name
Ellis
Provider Other First Name
Carol
Provider Other Middle Name
Suzanne
Provider Other Name Prefix Text
Dr.
Provider Other Credential Text
PH.D.
Provider Other Last Name Type Code
1
Mailing Street Address
37 S Cayuga RD
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-6705
Mailing Country
US
Mailing Phone
(716) 626-7492
Mailing Fax
(716) 626-4496
Practice Street Address
37 S Cayuga RD
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-6705
Practice Country
US
Practice Phone
(716) 626-7492
Practice Fax
(716) 626-4496
Enumeration Date
July 07, 2005
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Psychologist (103TC0700X)