Individual
PAMELA STEPHENS-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1300 CAMINO SIERRA VISTA, SANTA FE, NM 87501
(505) 467-2504
Mailing address
2584 CAMINO CHUECO, SANTA FE, NM 87505
(505) 310-2155
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1420
NM
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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