Individual
ANNELISE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC SLP
Contact information
Practice address
2312 S CAROLINA AVE, TAMPA, FL 33629-6229
(850) 238-5260
Mailing address
2312 S CAROLINA AVE, TAMPA, FL 33629-6229
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
017026
PA
235Z00000X
Speech-Language Pathologist
Primary
21225
FL
235Z00000X
Speech-Language Pathologist
2358
NH
235Z00000X
Speech-Language Pathologist
7150
TN
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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