MEDICARE: JENNIFER STONE

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	PSLP.0000198	CO

General Provider Information

NPI Number	:	1154861250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER STONE

Provider Business Mailing Address
First Line	:	12359 POINT REYES DR
Second Line	:
City	:	PEYTON
State	:	CO
Zip	:	80831-8476
Country	:	US
Telephone Number	:	810-434-4123
Fax Number	:

Provider Business Practice Location Address
First Line	:	2375 TELSTAR DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-1028
Country	:	US
Telephone Number	:	719-305-9373
Fax Number	:

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

Provider Enumeration Date	:	03/08/2017
Last Update Date	:	09/22/2022

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Directions to “ JENNIFER STONE ” Practice Location

Language	Start Address	Practice Location

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