Healthcare Provider Details

I. General information

NPI: 1528526910
Provider Name (Legal Business Name): STEPHANIE LYNN SANABRIA BARRERA M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2019
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1146 BLANTON DR
SEVIERVILLE TN
37862-5049
US

IV. Provider business mailing address

1146 BLANTON DR
SEVIERVILLE TN
37862-5049
US

V. Phone/Fax

Practice location:
  • Phone: 865-453-2824
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA17806
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number9509
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: