Individual
EVELYN WHITE THAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9407 PASTERN CT, CHARLOTTE, NC 28216-1761
(704) 779-2663
(704) 597-3734
Mailing address
9407 PASTERN CT, CHARLOTTE, NC 28216-1761
(704) 779-2663
(704) 597-3734
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2723
NC
235Z00000X
Speech-Language Pathologist
3011
SC
235Z00000X
Speech-Language Pathologist
30869
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3011
SC STATE BOARD
SC
Enumeration date
11/10/2007
Last updated
12/13/2024
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