Evans, Katelyn Marie
Evans, Katelyn Marie is an individual health care provider with primary practice located at 1107 Mabbette St , Kissimmee FL 34741-5161. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Evans, Katelyn Marie can be contacted via phone (407) 201-8079.Contact Information
Primary practice address
1107 Mabbette St
Kissimmee FL 34741-5161
Phone: (407) 201-8079
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA16885 | Florida |
Profile Details
| NPI number | 1750635140 |
|---|---|
| LBN Legal business name | Evans, Katelyn Marie |
| Credentials | CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2012 |
| Last updated | Apr 2nd, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750635140 | NPPES |
| Florida | Other | SA16885 | FL DEPARTMENT OF HEALTH LICENSE |
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