Provider Demographics
NPI:1649448234
Name:SMILEY EVANS, SABRINA KAYE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:KAYE
Last Name:SMILEY EVANS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:KAYE
Other - Last Name:SMILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:102 KEYSTONE LN
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-3008
Mailing Address - Country:US
Mailing Address - Phone:615-319-2602
Mailing Address - Fax:
Practice Address - Street 1:102 KEYSTONE LN
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3008
Practice Address - Country:US
Practice Address - Phone:615-319-2602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-15
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3941235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist