Individual
BETHANY JOELLE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
902 BUCHANAN RD, NEW TAZEWELL, TN 37825-7410
(606) 670-7468
Mailing address
264 LINCOLN DR, HARROGATE, TN 37752-6945
(606) 670-7468
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000005085
TN
Other
Enumeration date
01/25/2016
Last updated
03/19/2018
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