Provider Demographics
NPI:1962225748
Name:THURBER, EVANGELYNN HARDIN
Entity type:Individual
Prefix:MRS
First Name:EVANGELYNN
Middle Name:HARDIN
Last Name:THURBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7509 N RUGGLES FERRY PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37924-3318
Mailing Address - Country:US
Mailing Address - Phone:931-510-2173
Mailing Address - Fax:
Practice Address - Street 1:7509 N RUGGLES FERRY PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37924-3318
Practice Address - Country:US
Practice Address - Phone:931-510-2173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician