Active NPI
Stephanie Renee Garland, MS CCC SLP
- Speech-Language Pathologist
- Van, TX
National Provider Identifier
1124670567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 106137
- Practice address
- 104 N Oak St
Van, TX 75790-2682 - Phone
- (903) 638-3726
- NPI assigned
- Jul 16, 2019
- Last updated
- Jul 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 106137 | TX | Primary |
Addresses
Primary practice location
104 N Oak St
Van, TX 75790-2682
Mailing address
104 N Oak St
Van, TX 75790-2682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106137 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1124670567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 N OAK ST",
"city": "VAN",
"state": "TX",
"postal_code": "757902682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 N OAK ST",
"city": "VAN",
"state": "TX",
"postal_code": "757902682",
"telephone_number": "903-638-3726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARLAND",
"first_name": "STEPHANIE",
"middle_name": "RENEE",
"credential": "MS CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-16",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "106137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van, TX
- Country Inn Healthcare
- Angela Elske McFarland Davis, LPC-ASSOCIATE
- Thomas Jason Dodd, MED, LAT, ATC
- East Texas Medical Center Quitman (ETMC First Physicians Clinic Van)
- Kerry Frazier, COTA
- Matthew Grace, D.D.S.
- William Kelly Grizzard
- Health at Home Inc
- Nancy Kathryn Hopper
- Lindsay Delea Jones, M.S., LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.