Individual
MAYA ELENA STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
729 S ARAPEEN DR, SALT LAKE CITY, UT 84108-1218
(801) 587-3548
Mailing address
343 S 500 E APT 127, SALT LAKE CITY, UT 84102-4009
(469) 682-8944
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11331003-4102
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2019
Last updated
12/06/2021
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