Individual
JODI L EVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
67 FOX LN, EDDINGTON, ME 04428-3104
(520) 664-6996
Mailing address
67 FOX LN, EDDINGTON, ME 04428-3104
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP880
ME
235Z00000X
Speech-Language Pathologist
—
ME
Other
Enumeration date
01/31/2019
Last updated
01/05/2024
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