Individual
STEPHANIE THETFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-ASSISTANT
Contact information
Practice address
14815 CYORESS NORTH HOUSTON RD #A, CYPRESS, TX 77429
(281) 477-9500
Mailing address
18010 DUNOON BAY POINT CT, CYPRESS, TX 77429-5276
(832) 334-2936
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
39870
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N/A
N/A
TX
Enumeration date
11/29/2016
Last updated
11/29/2016
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