Individual
MRS. KRISTIN MCEVOY-BOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
1309 VENETIAN WAY DR, WAXHAW, NC 28173-8077
(704) 877-1515
Mailing address
1309 VENETIAN WAY DR, WAXHAW, NC 28173-8077
(704) 877-1515
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13391
NC
Other
Enumeration date
03/22/2019
Last updated
05/14/2019
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