Doctor Name: | AMANDA ALAINE STEPHENS |
NPI Number: | 1164794400 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 105878 |
Business Practice Address: | 1717 Norfolk Ave Attn: Rehabcare Lubbock, TX - 794166099 |
Business Phone Number: | 8062816232 |
Business Fax Number: | 8062816233 |
Mailing Address: | 1717 Norfolk Ave, Attn: Rehabcare LUBBOCK |
State: | TX |
Postal Code: | 794166099 |
Phone Number: | 8062816232 |
Fax Number: | 8062816233 |
NPI Enumeration Date: | 02/02/2012 |
NPI Last Update Date: | 01/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 105878 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |