Doctor Name: | STEPHANIE NICOLE ALLEN |
NPI Number: | 1245501212 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S./CCC/SLP |
License Number: | S2232 |
Business Practice Address: | 355 Crossgates Blvd Brandon, MS - 390422602 |
Business Phone Number: | 6018253192 |
Business Fax Number: | |
Mailing Address: | 305 Woodlands Green Pl, BRANDON |
State: | MS |
Postal Code: | 390476374 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/23/2012 |
NPI Last Update Date: | 01/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | S2232 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
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 |