Provider Demographics
NPI:1023541083
Name:ARCE, EVANIA (SLPA)
Entity Type:Individual
Prefix:
First Name:EVANIA
Middle Name:
Last Name:ARCE
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:EVANIA
Other - Middle Name:A
Other - Last Name:HERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3030 S LEMON AVE
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85365-6628
Mailing Address - Country:US
Mailing Address - Phone:928-502-9966
Mailing Address - Fax:
Practice Address - Street 1:3030 S LEMON AVE
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85365-6628
Practice Address - Country:US
Practice Address - Phone:928-502-9966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA104022355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant