Individual
TAVIA FOSTER EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3756 LAVISTA RD, SUITE 104, TUCKER, GA 30084-5614
(404) 477-9400
Mailing address
3577 CHAMBLEE TUCKER RD, SUITE A #279, ATLANTA, GA 30341-4422
(678) 577-1768
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
08947
MD
235Z00000X
Speech-Language Pathologist
SLP006900
GA
Other
Enumeration date
10/21/2008
Last updated
10/13/2023
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