MEDICARE: MS. CAMILLE FRANCES STEWART M.S. CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SZ 4992	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SZ 4992	OTHER	FL	STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION: PROVISIONAL SPEECH-LANGUAGE PATH

General Provider Information

NPI Number	:	1346564622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CAMILLE FRANCES STEWART M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	11801 PIERCE ST STE 200
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92505-4400
Country	:	US
Telephone Number	:	239-200-3096
Fax Number	:

Provider Business Practice Location Address
First Line	:	11801 PIERCE ST STE 200
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92505-4400
Country	:	US
Telephone Number	:	239-200-3096
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2010
Last Update Date	:	07/30/2024

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Directions to “ MS. CAMILLE FRANCES STEWART M.S. CCC-SLP” Practice Location

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