Provider Demographics
NPI:1275268518
Name:EVANS, SARAH ANN MILLS (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN MILLS
Last Name:EVANS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5634 LEANDER WAY
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-8872
Mailing Address - Country:US
Mailing Address - Phone:619-200-5647
Mailing Address - Fax:
Practice Address - Street 1:5634 LEANDER WAY
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-8872
Practice Address - Country:US
Practice Address - Phone:619-200-5647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111122235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist