Provider Demographics
NPI:1609480201
Name:DRAPER, EVAN FORD (AUD)
Entity type:Individual
Prefix:
First Name:EVAN
Middle Name:FORD
Last Name:DRAPER
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1842 BEACON ST STE 403
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-1930
Mailing Address - Country:US
Mailing Address - Phone:617-232-1299
Mailing Address - Fax:617-232-7959
Practice Address - Street 1:1842 BEACON ST STE 403
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-1930
Practice Address - Country:US
Practice Address - Phone:617-232-1299
Practice Address - Fax:617-232-7959
Is Sole Proprietor?:No
Enumeration Date:2020-09-02
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHA798231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist