Individual
SHAUN R STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
130 FISHER RD, BERLIN, VT 05602-9516
(802) 371-4242
Mailing address
PO BOX 547, BARRE, VT 05641-0547
(802) 371-4242
(802) 371-5350
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
NO NUMBER ISSUED
VT
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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