Individual
MRS. TERRA MICHELLE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
255 WILD ROSE CV, AUSTIN, AR 72007-9150
(501) 628-4423
Mailing address
255 WILD ROSE CV, AUSTIN, AR 72007-9150
(501) 843-3831
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2150
AR
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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