Individual
CARSON STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1851 GOLDEN EAGLE WAY STE 43, FLEMING ISLAND, FL 32003-4334
(904) 374-1414
Mailing address
2104 WHITE WING DOVE PL, SAINT JOHNS, FL 32259-2920
(904) 439-0003
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI3626
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SI3626
SPEECH LANGUAGE PATHOLOGIST ASSISTANT LICENSURE
FL
Enumeration date
04/11/2019
Last updated
11/27/2023
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