Doctor Name: | KIM MARIE STEPHENS |
NPI Number: | 1306038641 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | |
Business Practice Address: | 18330 Guire Way Monument, CO - 801327933 |
Business Phone Number: | 7192377757 |
Business Fax Number: | |
Mailing Address: | Po Box 875, PALMER LAKE |
State: | CO |
Postal Code: | 801330875 |
Phone Number: | 7192377757 |
Fax Number: | |
NPI Enumeration Date: | 08/10/2007 |
NPI Last Update Date: | 03/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |