Individual
MRS. STEPHANIE PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
3504 E 140TH PL, THORNTON, CO 80602-8882
(303) 596-4133
Mailing address
PO BOX 618, EASTLAKE, CO 80614-0618
(303) 596-4133
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44076061
—
CO
Enumeration date
04/09/2007
Last updated
04/28/2021
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