Most Relevant Information
Provider Data
| NPI Number: | 1003521659 |
| Provider Name: | SUSAN A STEPHENSON CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | PECT003772 |
Most Important Dates
| Enumeration Date: | 01/18/2023 |
| Last Updated: | 03/07/2024 |
Provider Practice Location
502 WHEAT AVE
BAINBRIDGE
GA
398194325
Practice Location Phone/Fax
| Phone: | 2292464088 |
| Fax: | 2292460205 |
Provider Mailing Location
502 WHEAT AVE
BAINBRIDGE
GA
398194325
Provider Mailing Phone/Fax
| Phone: | 2292464088 |
| Fax: | 2292460205 |