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NPI Code Detail

MEDICARE: STEPHANIE ROLFS M.A., CCC-SLP

MEDICARE: STEPHANIE ROLFS M.A., 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
1235Z00000XSpeech-Language PathologistSLP.0001075CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SLP.0001075OTHERCODORA LICENSE

General Provider Information

NPI Number : 1417273087
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE ROLFS M.A., CCC-SLP
Provider Business Mailing Address
First Line : 6462 ROCKVILLE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80923-3812
Country : US
Telephone Number : 719-433-8604
Fax Number :
Provider Business Practice Location Address
First Line : 5850 MORNING LIGHT TER
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-3781
Country : US
Telephone Number : 888-701-9216
Fax Number : 866-569-1087
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2010
Last Update Date : 02/07/2019

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Directions to “ STEPHANIE ROLFS M.A., CCC-SLP” Practice Location

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