Active NPIIndividual providerSole proprietor

Michelle J Evans, MS CCC-SLP

Speech-Language Pathologist, in Pine Brook, New Jersey

NPI Number1194091405
Practice location
1700 Rachel Ter Apt 14, Pine Brook, NJ 07058-9305
Fax
—
Last updated
July 1, 2014

Michelle J Evans is a Speech-Language Pathologist, based in Pine Brook, NJ. Michelle J Evans practices in Pine Brook, NJ and has the professional credentials of MS CCC-SLP. The NPI Number for Michelle J Evans is 1194091405 and holds a License No. 41YS00491500 (NJ). The current practice location address for Michelle J Evans is 1700 Rachel Ter Apt 14, Pine Brook, NJ 07058-9305 and can be reached out via phone at 973-412-5990.

Provider Profile Details

NPI Number
1194091405
Provider Name
Michelle J Evans
Credential
MS CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
1700 Rachel Ter Apt 14, Pine Brook, NJ 07058-9305
Phone Number
973-412-5990
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 30, 2012
Last Update Date
July 1, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
1700 Rachel Ter Apt 14
Pine Brook, NJ 07058-9305
Zip
07058-9305
Phone Number
973-412-5990
Pine Brook, NJ 07058Get directions →

Provider Business Mailing Address Details

Address
1700 Rachel Ter Apt 14
Pine Brook, NJ 07058-9305
City
Pine Brook
State
NJ
Zip
07058-9305
Phone Number
973-412-5990

License Information

License Number
41YS00491500
License State
NJ
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michelle J Evans, MS CCC-SLP?

The NPI number of Michelle J Evans, MS CCC-SLP is 1194091405. It was assigned on March 30, 2012 and is currently active in the NPPES registry.

What is the specialty of Michelle J Evans, MS CCC-SLP?

Michelle J Evans, MS CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00491500.

Where does Michelle J Evans, MS CCC-SLP practice?

The practice location is 1700 Rachel Ter Apt 14, Pine Brook, NJ 07058-9305. The office can be reached at 973-412-5990 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194091405 directly on the NPPES registry website.

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