Individual
LYNDSEY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
935 E WINDING CREEK DR STE 120, EAGLE, ID 83616-7242
(208) 938-4748
(208) 938-1710
Mailing address
935 E WINDING CREEK DR STE 120, EAGLE, ID 83616-7242
(208) 938-4748
(208) 938-1710
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-3093
ID
235Z00000X
Speech-Language Pathologist
TSLP-2777
ID
Other
Enumeration date
08/10/2015
Last updated
10/24/2016
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