Provider Demographics
NPI:1558482836
Name:ADAMS, STEPHANIE ANNE (SLP)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:ANNE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20196 E WILLIAMETTE LN
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-5439
Mailing Address - Country:US
Mailing Address - Phone:505-644-5556
Mailing Address - Fax:
Practice Address - Street 1:3401 QUEBEC ST
Practice Address - Street 2:SUITE 3600
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80207-2322
Practice Address - Country:US
Practice Address - Phone:303-432-8487
Practice Address - Fax:866-716-7233
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist