| Doctor Name: | SHAUN R STEPHENS |
| NPI Number: | 1194907121 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS, CCC-SLP |
| License Number: | NO NUMBER ISSUED |
| Business Practice Address: | 130 Fisher Rd Berlin, VT - 056029516 |
| Business Phone Number: | 8023714242 |
| Business Fax Number: | |
| Mailing Address: | Po Box 547, BARRE |
| State: | VT |
| Postal Code: | 056410547 |
| Phone Number: | 8023714242 |
| Fax Number: | 8023715350 |
| NPI Enumeration Date: | 11/30/2007 |
| NPI Last Update Date: | 11/30/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | NO NUMBER ISSUED |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| 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 |