Provider Demographics
NPI:1013574474
Name:RIOS, STEPHANIE SHARLEEN (AUD)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:SHARLEEN
Last Name:RIOS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8415 SOLITUDE HILL LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1491
Mailing Address - Country:US
Mailing Address - Phone:787-696-6696
Mailing Address - Fax:
Practice Address - Street 1:6400 FANNIN ST STE 2700
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1539
Practice Address - Country:US
Practice Address - Phone:713-486-5038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-21
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81200231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist