Doctor Name: | EVEYLIN LOUISE WELLS |
NPI Number: | 1275845950 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M. ED., CCC-SLP |
License Number: | |
Business Practice Address: | Highway 191 & Hospital Road Chinle Ihs Hospital Chinle, AZ - 86503 |
Business Phone Number: | 9286747001 |
Business Fax Number: | 9286747705 |
Mailing Address: | P.o. Drawer Ph, Chinle Ihs Hospital CHINLE |
State: | AZ |
Postal Code: | 86503 |
Phone Number: | 9286747001 |
Fax Number: | 9286747705 |
NPI Enumeration Date: | 07/09/2010 |
NPI Last Update Date: | 07/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |