Provider Demographics
NPI:1639594724
Name:VOSHELL, STEPHANIE ANNE (HAS)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:ANNE
Last Name:VOSHELL
Suffix:
Gender:F
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 A1A N
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PONTE VEDRA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32082-5701
Mailing Address - Country:US
Mailing Address - Phone:904-273-2232
Mailing Address - Fax:904-273-2219
Practice Address - Street 1:166 A1A N
Practice Address - Street 2:SUITE 100
Practice Address - City:PONTE VEDRA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32082-5701
Practice Address - Country:US
Practice Address - Phone:904-273-2232
Practice Address - Fax:904-273-2219
Is Sole Proprietor?:No
Enumeration Date:2014-02-26
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS5003237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist