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NPI Code Detail

MEDICARE: CLAIRE PAULINE STEPHENS

MEDICARE: CLAIRE PAULINE STEPHENS
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 Pathologist518244MN

General Provider Information

NPI Number : 1083376305
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAIRE PAULINE STEPHENS
Provider Business Mailing Address
First Line : 8580 ALLEGHENY GROVE BLVD
Second Line :
City : VICTORIA
State : MN
Zip : 55386-8241
Country : US
Telephone Number : 630-414-9842
Fax Number :
Provider Business Practice Location Address
First Line : 1250 W BROADWAY AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55411-2533
Country : US
Telephone Number : 612-668-0254
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2021
Last Update Date : 01/26/2026

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Directions to “ CLAIRE PAULINE STEPHENS ” Practice Location

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