Individual
AMY EVANS JOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
612 S GROVE ST, MARSHALL, TX 75670-5219
(903) 399-1316
Mailing address
PO BOX 998, LINDEN, TX 75563-0998
(903) 399-1316
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100860
TX
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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