Most Relevant Information
Provider Data
| NPI Number: | 1003585613 |
| Provider Name: | STEPHANIE NICOLE PEREZ |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 110667 |
Most Important Dates
| Enumeration Date: | 09/08/2021 |
| Last Updated: | 09/09/2021 |
Provider Practice Location
1511 GULF WAY
ROUND ROCK
TX
786651405
Practice Location Phone/Fax
| Phone: | 5124248789 |
| Fax: |
Provider Mailing Location
4539 GUADALUPE ST APT A215
AUSTIN
TX
787512935
Provider Mailing Phone/Fax
| Phone: | 3617392019 |
| Fax: |