MEDICARE: STEPHANIE ANNE ADAMS SLP

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

General Provider Information

NPI Number	:	1558482836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE ANNE ADAMS SLP

Provider Business Mailing Address
First Line	:	20196 E WILLIAMETTE LN
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80015-5439
Country	:	US
Telephone Number	:	505-644-5556
Fax Number	:

Provider Business Practice Location Address
First Line	:	3401 QUEBEC ST
Second Line	:	SUITE 3600
City	:	DENVER
State	:	CO
Zip	:	80207-2322
Country	:	US
Telephone Number	:	303-432-8487
Fax Number	:	866-716-7233

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

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	09/07/2011

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Directions to “ STEPHANIE ANNE ADAMS SLP” Practice Location

Language	Start Address	Practice Location

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