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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARY CAROLINE EVANGELISTI
NPI 1609792431
Speech-Language Pathologist in Southaven, MS

Active since June 25, 2026
3964 GOODMAN RD E STE 105, SOUTHAVEN, MS 38672(662) 932-4625(662) 932-4626 Get Directions Write a Review

NPPES record added: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Caroline Evangelisti NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY CAROLINE EVANGELISTI (NPI 1609792431) is an individual speech-language pathologist provider in Southaven, Mississippi, licensed in Mississippi (5545) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1609792431
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARY CAROLINE EVANGELISTI
Location Address3964 GOODMAN RD E STE 105Southaven, MS 38672-8711
Mailing Address2188 Dogwood Oaks DrGermantown, TN 38139-5303 · (901) 232-7679
Phone(662) 932-4625
Fax(662) 932-4626
Sole ProprietorNo
Enumeration DateJune 25, 2026
NPPES CertifiedJune 25, 2026
✔ NPI 1609792431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MS · 5545
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
3964 GOODMAN RD E STE 105, Southaven, MS 38672
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANNAH ELIZABETH OWENS
Speech-Language Pathologist
3964 GOODMAN RD E STE 105
SOUTHAVEN, MS 38672
Desoto County (662) 932-4625
JESSICA MCGARRITY DPT
Physical Therapist
3964 GOODMAN RD E STE 105
SOUTHAVEN, MS 38672
Desoto County (662) 932-4625
SHELBY OLIVER RESENDIZ OTR/L
Occupational Therapist (Pediatrics)
3964 GOODMAN RD E STE 105
SOUTHAVEN, MS 38672
Desoto County (662) 932-4625
RACHEL TYRONE LOTT PT, DPT
Physical Therapist (Pediatrics)
3964 GOODMAN RD E STE 105
SOUTHAVEN, MS 38672
Desoto County (901) 932-4625
HANNAH RUTH BERTHELSON M.A., CCC-SLP
Speech-Language Pathologist
3964 GOODMAN RD E STE 105
SOUTHAVEN, MS 38672
Desoto County (662) 932-4625
EMMA MCLEAREN COTA/L
Occupational Therapy Assistant
3964 GOODMAN RD E STE 105
SOUTHAVEN, MS 38672
Desoto County (662) 932-4625
RAVEN VICTORIA MOORE MOT/S
Student in an Organized Health Care Education/Training Program
3964 GOODMAN RD E STE 105
SOUTHAVEN, MS 38672
Desoto County (662) 932-4652
ALEXANDRA EAMES M.A., CCC-SLP
Speech-Language Pathologist
3964 GOODMAN RD E STE 105
SOUTHAVEN, MS 38672
Desoto County (662) 932-4625

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Evangelisti's NPI number?

The NPI number for Mary Evangelisti is 1609792431. It was assigned to this individual provider in the NPPES registry on June 25, 2026.

Where is Mary Evangelisti located?

Mary Evangelisti practices at 3964 Goodman Rd E Ste 105, Southaven, MS 38672. The listed phone number is (662) 932-4625.

What is Mary Evangelisti's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Mary Evangelisti was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.