Individual provider · Type 1 NPI
Julie Kwon Evans, PhD
Contractor · Bloomfield Hills, MI
Practice location
74 W Long Lake Rd # 28
Bloomfield Hills, MI 48304-2769
Mailing address
PO Box 2125
Birmingham, MI 48012-2125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Exercise & Sports Psychologist | 103TE1100X | None listed |
| Health Psychologist | 103TH0004X | None listed |
| Pediatric Nutrition Registered Dietitian | 133VN1004X | None listed |
| Health & Wellness Coach | 171400000X | None listed |
| Health Educator | 174H00000X | None listed |
| Massage Therapist | 225700000X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Clinic/Center | 261Q00000X | None listed |
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Contractor Primary | 171W00000X | M719636 (MI) |
Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…
About NPI 1316479017
Julie Kwon Evans, PhD's National Provider Identifier is 1316479017, issued on Mar 31, 2017. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Bloomfield Hills, MI. The record was last updated on Aug 11, 2021.