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Contact Information

JENNIFER LARSEN EVANS, PSYD
2193 AHAKU PL
HONOLULU, HI96821-1012
 Phone: 818-220-1539
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JENNIFER LARSEN EVANS · (Female)

NPI Number 1467765289
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 07/21/2010
Last updated 01/05/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PSY27179
  • HI License # PSY2123
  • CA Other 225400000X DMH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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