Individual
STEPHANIE A. MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1701 N COLLINS BLVD, RICHARDSON, TX 75080-3564
(469) 385-4254
Mailing address
PO BOX 865156, PLANO, TX 75086-5156
(913) 634-6745
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
235Z00000X
Speech-Language Pathologist
105857
TX
235Z00000X
Speech-Language Pathologist
2048
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115792
BCBS OF KANSAS
KS
Enumeration date
05/17/2007
Last updated
06/14/2011
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