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NPI Code Detail

MEDICARE: DR. MAEGAN K EVANS PH.D. CCC-SLP

MEDICARE: DR. MAEGAN K EVANS PH.D. CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12355S0801XSpeech-Language Assistant7511NC

General Provider Information

NPI Number : 1134148943
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAEGAN K EVANS PH.D. CCC-SLP
Provider Business Mailing Address
First Line : 808 BACON ST
Second Line :
City : DURHAM
State : NC
Zip : 27703-5006
Country : US
Telephone Number : 919-560-2096
Fax Number : 919-560-2162
Provider Business Practice Location Address
First Line : 808 BACON ST
Second Line :
City : DURHAM
State : NC
Zip : 27703-5006
Country : US
Telephone Number : 919-560-2096
Fax Number : 919-560-2162
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 05/04/2026

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