Provider Demographics
NPI:1649492653
Name:STEVENSON, ANNE C (SLP)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:C
Last Name:STEVENSON
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 1:850 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:CORTEZ
Mailing Address - State:CO
Mailing Address - Zip Code:81321-3170
Mailing Address - Country:US
Mailing Address - Phone:970-564-1574
Mailing Address - Fax:970-564-5199
Practice Address - Street 1:850 CHERRY ST
Practice Address - Street 2:
Practice Address - City:CORTEZ
Practice Address - State:CO
Practice Address - Zip Code:81321-3170
Practice Address - Country:US
Practice Address - Phone:970-564-1574
Practice Address - Fax:970-564-1599
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2013-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM507235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist