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David Arland Evans

Marriage & Family Therapist

Behavioral Health & Social Service Providers

2350 Professional Dr, Santa Rosa, CA 95403-3018

PECOS Enrollment

This provider is enrolled in PECOS as DAVID EVANS.

Based on the most recent information from CMS, provider David Arland Evans is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1912052283
Provider Type
Individual
Full Name
Evans, David Arland
Gender
Male

Sole Proprietor
No
Enumeration Date
1/24/2007
Last Updated
7/1/2014

Contact Information

Practice Location

2350 Professional Dr, Santa Rosa, CA 95403-3018

(707) 565-4955

Unlisted Fax

Mailing Location

2350 Professional Dr, Santa Rosa, CA 95403-3018

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 49579 California

David Arland Evans

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Arian, Kathy

Smith, Leona M

Gayowski, William Michael

Ekren, Kathy Mae

Bolling, Amanda Weltman

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Planting, Anna Lisa