Individual
AMANDA ALAINE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 NORFOLK AVE, ATTN: REHABCARE, LUBBOCK, TX 79416-6099
(806) 281-6232
(806) 281-6233
Mailing address
1717 NORFOLK AVE, ATTN: REHABCARE, LUBBOCK, TX 79416-6099
(806) 281-6232
(806) 281-6233
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
105878
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149984001
—
TX
05
—
207164901
—
TX
Enumeration date
02/02/2012
Last updated
01/06/2014
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