Individual
JENNIFER STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
717 PINE VIEW CT, LAKE SAINT LOUIS, MO 63367-2152
(636) 698-3303
Mailing address
717 PINE VIEW CT, LAKE SAINT LOUIS, MO 63367-2152
(636) 698-3303
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
09144662
—
235Z00000X
Speech-Language Pathologist
Primary
2012027937
MO
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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