Most Relevant Information
Provider Data
| NPI Number: | 1003000449 |
| Provider Name: | JACLYN ANN EVANS PSY.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/29/2007 |
| Last Updated: | 09/17/2009 |
Provider Practice Location
435 E MAIN ST
ANSONIA
CT
064011964
Practice Location Phone/Fax
| Phone: | 2037362905 |
| Fax: |
Provider Mailing Location
PO BOX 658
435 EAST MAIN STREET
ANSONIA
CT
064010658
Provider Mailing Phone/Fax
| Phone: | 2037362905 |
| Fax: |