Provider Demographics
NPI:1073214276
Name:EVANS, ASHLEY CAROLINE
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:CAROLINE
Last Name:EVANS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1408 TEASLEY LN APT 912
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-5220
Mailing Address - Country:US
Mailing Address - Phone:940-300-2580
Mailing Address - Fax:
Practice Address - Street 1:11330 LEGACY DR STE 306
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-1217
Practice Address - Country:US
Practice Address - Phone:469-430-0510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116196235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist