National Provider Identifier

Alicia Evans, M.S.ED

Alicia Evans, M.S.ED is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Kenmore, NY and a listed phone number of (716) 871-9915.

NPI 1457918708Kenmore, NYSpeech-Language Pathologist

Profile Overview

NPI
1457918708
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
May 22, 2019
Last Updated
November 12, 2024

Practice Location

  • 2900 Delaware Ave
  • Kenmore, NY 14217-2309

Phone: (716) 871-9915

Mailing Address

  • 100 Penwood Dr
  • Cheektowaga, NY 14227-3259

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1457918708
Entity Type
Individual
Last Name
Evans
First Name
Alicia
Credential
M.S.ED
Mailing Street Address
100 Penwood Dr
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14227-3259
Mailing Country
US
Mailing Phone
(716) 572-5361
Practice Street Address
2900 Delaware Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-2309
Practice Country
US
Practice Phone
(716) 871-9915
Enumeration Date
May 22, 2019
Last Updated
November 12, 2024
Sex
Female
Sole Proprietor
No
Certification Date
November 12, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)