| Doctor Name: | VICKY EVANS |
| NPI Number: | 1225128523 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CCC-SLP |
| License Number: | SP271 |
| Business Practice Address: | 2615 W Main St Jacksonville, AR - 720764215 |
| Business Phone Number: | 5019824578 |
| Business Fax Number: | 5019821253 |
| Mailing Address: | 2520 W Main St, JACKSONVILLE |
| State: | AR |
| Postal Code: | 720764214 |
| Phone Number: | 5019820528 |
| Fax Number: | 5015336380 |
| NPI Enumeration Date: | 10/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP271 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| 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 |