Provider Demographics
NPI:1881646354
Name:BEVANS, VERONICA M (MCD)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:M
Last Name:BEVANS
Suffix:
Gender:F
Credentials:MCD
Other - Prefix:MRS
Other - First Name:VERONICA
Other - Middle Name:M
Other - Last Name:MAJOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:VERONICA M MAJOR
Mailing Address - Street 1:9 NATICK ST
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-3628
Mailing Address - Country:US
Mailing Address - Phone:504-941-0782
Mailing Address - Fax:
Practice Address - Street 1:200 SPRINGS RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730-1114
Practice Address - Country:US
Practice Address - Phone:781-687-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5179231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist