Provider Demographics
NPI:1194049353
Name:ARGENAL, EVELYN MARIE (PHD)
Entity type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:MARIE
Last Name:ARGENAL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:EVELYN
Other - Middle Name:MARIE
Other - Last Name:ALVAREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:83 E 50TH PL
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-1444
Mailing Address - Country:US
Mailing Address - Phone:786-554-8643
Mailing Address - Fax:
Practice Address - Street 1:7950 W FLAGLER ST STE 106
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2206
Practice Address - Country:US
Practice Address - Phone:786-554-8643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-17
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 8034103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical