Individual
MRS. STEPHANIE L STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
14715 BRISTOW RD, MANASSAS, VA 20112-3945
(703) 791-7200
Mailing address
3014 MAGNOLIA LEAF CIR SE, OWENS CROSS ROADS, AL 35763-8876
(161) 521-0028
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2202008828
VA
235Z00000X
Speech-Language Pathologist
Primary
5078
AL
Other
Enumeration date
03/09/2018
Last updated
05/15/2023
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