Individual
KIM MARIE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
18330 GUIRE WAY, MONUMENT, CO 80132-7933
(719) 237-7757
Mailing address
PO BOX 875, PALMER LAKE, CO 80133-0875
(719) 237-7757
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0308034
COLORADO DEPT. OF ED
CO
Enumeration date
08/10/2007
Last updated
03/27/2014
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