Doctor Name: | MR. GEORGE HARRY STEVENS |
NPI Number: | 1477730075 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., CCC-SLP |
License Number: | 146000897 |
Business Practice Address: | 5681 Nebeshone Ln Rockford, IL - 611038917 |
Business Phone Number: | 8158772615 |
Business Fax Number: | 8158772615 |
Mailing Address: | 5681 Nebeshone Ln, ROCKFORD |
State: | IL |
Postal Code: | 611038917 |
Phone Number: | 8158772615 |
Fax Number: | 8158772615 |
NPI Enumeration Date: | 01/25/2008 |
NPI Last Update Date: | 01/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146000897 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |