Provider Demographics
NPI:1164861365
Name:STEPHENS, LAURA L (AUD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:L
Last Name:STEPHENS
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 1:1065 HENDERSONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1801
Mailing Address - Country:US
Mailing Address - Phone:828-254-3577
Mailing Address - Fax:828-253-6960
Practice Address - Street 1:1065 HENDERSONVILLE RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1801
Practice Address - Country:US
Practice Address - Phone:828-254-3577
Practice Address - Fax:828-253-6960
Is Sole Proprietor?:No
Enumeration Date:2013-06-20
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10490231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist