Provider Demographics
NPI:1083055610
Name:SEARING, STEPHANIE K (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:K
Last Name:SEARING
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 PERSHING HWY
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:LA
Mailing Address - Zip Code:71251-2046
Mailing Address - Country:US
Mailing Address - Phone:318-259-9899
Mailing Address - Fax:318-259-9897
Practice Address - Street 1:900 PERSHING HWY
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:LA
Practice Address - Zip Code:71251-2046
Practice Address - Country:US
Practice Address - Phone:318-259-9899
Practice Address - Fax:318-259-9897
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6063235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist