Individual
DIANA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
111 CAIN CT, BELLE MEAD, NJ 08502-6405
(609) 915-7637
Mailing address
111 CAIN CT, BELLE MEAD, NJ 08502-6405
(609) 915-7637
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00647200
NJ
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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