Provider Demographics
NPI:1396490249
Name:CEPEDA, STEPHANIE RIVERA (SLPD, CCC-SLP)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:RIVERA
Last Name:CEPEDA
Suffix:
Gender:F
Credentials:SLPD, CCC-SLP
Other - Prefix:DR
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:RIVERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:11939 161ST ST
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-7160
Mailing Address - Country:US
Mailing Address - Phone:424-832-4882
Mailing Address - Fax:
Practice Address - Street 1:3934 MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:LYNWOOD
Practice Address - State:CA
Practice Address - Zip Code:90262-5254
Practice Address - Country:US
Practice Address - Phone:424-832-4882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-18
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26787235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty