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NPI Code Detail

MEDICARE: STEPHANIE FRANK CCC-SLP

MEDICARE: STEPHANIE FRANK CCC-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
1235Z00000XSpeech-Language Pathologist2016032882MO

General Provider Information

NPI Number : 1578089934
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE FRANK CCC-SLP
Provider Business Mailing Address
First Line : 9533 COUNTY ROAD 441
Second Line :
City : NEW BLOOMFIELD
State : MO
Zip : 65063-1632
Country : US
Telephone Number : 573-691-2101
Fax Number :
Provider Business Practice Location Address
First Line : 2333 CHAPEL HILL RD
Second Line :
City : COLUMBIA
State : MO
Zip : 65203-1568
Country : US
Telephone Number : 573-304-4514
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2017
Last Update Date : 01/21/2021

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Directions to “ STEPHANIE FRANK CCC-SLP” Practice Location

Language Start Address Practice Location
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