Individual
ELIZABETH BAKER EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
185 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1521
(336) 740-1625
Mailing address
185 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1521
(336) 740-1625
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
14397778
NC
235Z00000X
Speech-Language Pathologist
Primary
30001670
NC
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
07/12/2022
Last updated
05/01/2025
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