Individual
STEPHANIE THEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 CASTLE PINES DR N, CASTLE ROCK, CO 80108-9008
(303) 503-8510
Mailing address
15 CASTLE PINES DRIVE N, CASTLE ROCK, CO 80108
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0000.900
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008571
ASHA
—
01
—
SLP.0000900
COLORADO STATE LICENSE
CO
Enumeration date
09/22/2015
Last updated
09/22/2015
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