MEDICARE: STEFANIE RAY 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	5165	AL

General Provider Information

NPI Number	:	1821631235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEFANIE RAY SLP

Provider Business Mailing Address
First Line	:	8910 PURDUE RD STE 700
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-6136
Country	:	US
Telephone Number	:	800-603-6046
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 ONE NINETEEN BLVD
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-7236
Country	:	US
Telephone Number	:	800-603-6046
Fax Number	:

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

Provider Enumeration Date	:	10/18/2019
Last Update Date	:	04/30/2025

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Directions to “ STEFANIE RAY SLP” Practice Location

Language	Start Address	Practice Location

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