Healthcare Provider Details

I. General information

NPI: 1144148644
Provider Name (Legal Business Name): STEPHANIE RASHEED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 FRANKLIN ST
ANDERSON CA
96007-3279
US

IV. Provider business mailing address

2772 MONTANA SKY DR
REDDING CA
96002-5186
US

V. Phone/Fax

Practice location:
  • Phone: 530-365-0025
  • Fax:
Mailing address:
  • Phone: 530-351-2027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number12414
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: