Provider Demographics
NPI:1740996719
Name:STEPHENS, JULIANNAH (BA, SLP-A)
Entity type:Individual
Prefix:
First Name:JULIANNAH
Middle Name:
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:BA, SLP-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4902 N MACDILL AVE APT 2121
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-6762
Mailing Address - Country:US
Mailing Address - Phone:941-258-7355
Mailing Address - Fax:
Practice Address - Street 1:6274 S 78TH ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-7314
Practice Address - Country:US
Practice Address - Phone:813-605-4950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant