Individual
STEPHANIE LYNN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
701 CAMINO DEL RIO SUITE 221, PAGOSA SPRINGS, CO 81147-9388
(970) 247-3261
Mailing address
133 MOSSWOOD DR, PAGOSA SPRINGS, CO 81147-8418
(970) 731-3610
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12011612
—
Other
Enumeration date
07/08/2010
Last updated
03/01/2023
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