MEDICARE: MS. STEPHANIE LYNN POYNTER SPEECH THERAPIST

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	2986	KY

General Provider Information

NPI Number	:	1275734121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. STEPHANIE LYNN POYNTER SPEECH THERAPIST

Provider Business Mailing Address
First Line	:	118 CREEKSTONE CT
Second Line	:
City	:	COLD SPRING
State	:	KY
Zip	:	41076-1877
Country	:	US
Telephone Number	:	859-441-6076
Fax Number	:	859-441-6076

Provider Business Practice Location Address
First Line	:	118 CREEKSTONE CT
Second Line	:
City	:	COLD SPRING
State	:	KY
Zip	:	41076-1877
Country	:	US
Telephone Number	:	859-441-6076
Fax Number	:	859-441-6076

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

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	07/08/2007

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