Individual
LYDIA SURRENCY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 SCHROER RD, VALDOSTA, GA 31605-7013
(229) 244-3552
(229) 244-7030
Mailing address
3801 SCHROER RD, VALDOSTA, GA 31605-7013
(229) 244-3552
(229) 244-7030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007735
GA
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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