Doctor Name: | MS. CARLY EVANS |
NPI Number: | 1003183310 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 2853 |
Business Practice Address: | 4741 Trousdale Dr Suite 1 Nashville, TN - 372201332 |
Business Phone Number: | 6152905397 |
Business Fax Number: | |
Mailing Address: | 3400 Cainbrook Xing, ANTIOCH |
State: | TN |
Postal Code: | 370132350 |
Phone Number: | 6052128782 |
Fax Number: | |
NPI Enumeration Date: | 11/30/2011 |
NPI Last Update Date: | 12/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2853 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |