Individual
MS. KIMBERLEE A STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
1021 NW HIGHLAND AVE, GRANTS PASS, OR 97526-1146
(541) 474-5495
Mailing address
2238 SW WEBSTER RD, GRANTS PASS, OR 97526-5946
(541) 472-0205
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
A0128
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A0128
—
OR
Enumeration date
01/05/2007
Last updated
07/09/2007
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