Individual
MS. CYNTHIA MARIE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCC-SLP
Contact information
Practice address
328 SW ALACHUA AVE, LAKE CITY, FL 32025-7021
(386) 365-7889
(888) 841-9040
Mailing address
722 NE MARY ROBBINS GLN, LAKE CITY, FL 32055-0709
(386) 365-7889
(386) 752-2891
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA7684
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000227500
—
FL
05
—
690397596
—
FL
Enumeration date
04/23/2007
Last updated
09/24/2024
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