Provider Demographics
NPI:1154012193
Name:GARCIA LOPEZ, EVELYN ISEL (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:EVELYN
Middle Name:ISEL
Last Name:GARCIA LOPEZ
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6405 DEERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27606-8801
Mailing Address - Country:US
Mailing Address - Phone:919-695-7078
Mailing Address - Fax:
Practice Address - Street 1:1819 N FAYETTEVILLE ST
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-3478
Practice Address - Country:US
Practice Address - Phone:336-257-2878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-19
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist