Individual
MS. CARRIE HERSTAM STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
363 SUNRISE BLVD, ROMNEY, WV 26757-4607
(304) 822-4561
(304) 822-7809
Mailing address
220 CAMPUS BLVD, SUITE 200 ATTN: AMY GRAY, WINCHESTER, VA 22601-2888
(540) 536-0234
(540) 536-0235
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1369
WV
Other
Enumeration date
03/26/2012
Last updated
06/17/2014
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