National Provider Identifier
Nancy Jo Evangelista, PH.D.
Nancy Jo Evangelista, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Child & Adolescent Psychologist in Alfred, NY and a listed phone number of (607) 968-0616.
Profile Overview
- NPI
- 1699808519
- Provider Type
- Individual
- Primary Specialty
- Clinical Child & Adolescent Psychologist
- Enumeration Date
- March 13, 2007
- Last Updated
- July 08, 2007
Practice Location
- 10 Church St
- Alfred, NY 14802-1102
Phone: (607) 968-0616
Specialties
- Clinical Child & Adolescent Psychologist (103TC2200X)
Full Record
- NPI
- 1699808519
- Entity Type
- Individual
- Last Name
- Evangelista
- First Name
- Nancy
- Middle Name
- Jo
- Name Prefix
- Dr.
- Credential
- PH.D.
- Mailing Street Address
- 10 Church St
- Mailing City
- Alfred
- Mailing State
- NY
- Mailing ZIP Code
- 14802-1102
- Mailing Country
- US
- Mailing Phone
- (607) 968-0616
- Mailing Fax
- (607) 587-9533
- Practice Street Address
- 10 Church St
- Practice City
- Alfred
- Practice State
- NY
- Practice ZIP Code
- 14802-1102
- Practice Country
- US
- Practice Phone
- (607) 968-0616
- Practice Fax
- (607) 587-9533
- Enumeration Date
- March 13, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Child & Adolescent Psychologist (103TC2200X)
- Other Identifiers
- 11514985 (NY, Cahq Universal Credential)