Provider Demographics
NPI:1316734833
Name:EVANS, HUNTER DANIELLE (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:HUNTER
Middle Name:DANIELLE
Last Name:EVANS
Suffix:
Gender:
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3060 BERMUDA BAY LN APT 109
Mailing Address - Street 2:
Mailing Address - City:MEBANE
Mailing Address - State:NC
Mailing Address - Zip Code:27302-9976
Mailing Address - Country:US
Mailing Address - Phone:336-456-6301
Mailing Address - Fax:
Practice Address - Street 1:1920 E NC HIGHWAY 54 STE 240
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-2263
Practice Address - Country:US
Practice Address - Phone:919-378-1340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30003774235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist