Provider Demographics
NPI:1184127367
Name:EVANS, LINDSAY (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:
Last Name:EVANS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4235 STOAKLEY RD
Mailing Address - Street 2:
Mailing Address - City:CAPE CHARLES
Mailing Address - State:VA
Mailing Address - Zip Code:23310-3731
Mailing Address - Country:US
Mailing Address - Phone:757-710-8479
Mailing Address - Fax:
Practice Address - Street 1:26181 PARKSLEY RD
Practice Address - Street 2:
Practice Address - City:PARKSLEY
Practice Address - State:VA
Practice Address - Zip Code:23421-3723
Practice Address - Country:US
Practice Address - Phone:757-665-5133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-14
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist