Doctor Name: | BETHANY EVANS-MCCUNE |
NPI Number: | 1679930416 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0000005085 |
Business Practice Address: | 902 Buchanan Rd New Tazewell, TN - 378257410 |
Business Phone Number: | 4236268215 |
Business Fax Number: | |
Mailing Address: | 103 Kingsbury Woods Rd, MIDDLESBORO |
State: | KY |
Postal Code: | 409651730 |
Phone Number: | 6066707468 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2016 |
NPI Last Update Date: | 01/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0000005085 |
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 |