| Doctor Name: | DANA STEVENSON |
| NPI Number: | 1629396312 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. CCC-SLP |
| License Number: | 4450 |
| Business Practice Address: | 536 Grand Slam Dr Evans, GA - 308098044 |
| Business Phone Number: | 7068548434 |
| Business Fax Number: | |
| Mailing Address: | 122 Ginkgo Ln, GROVETOWN |
| State: | GA |
| Postal Code: | 308135392 |
| Phone Number: | 8032712852 |
| Fax Number: | |
| NPI Enumeration Date: | 05/05/2010 |
| NPI Last Update Date: | 03/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 4450 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| 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 |