Elizabeth A Stevens, MACCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Flagler Beach, FL
NPI 1134418940 · NPPES record last updated Apr 1, 2011
Key facts
- NPI
- 1134418940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SA2704 (FL)
- Practice address
- 712 N Central Ave
Flagler Beach, FL 32136-3338 - Phone
- (386) 439-4324
- NPI assigned
- Apr 1, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA2704 | FL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA2704 | FL | Yes |
Addresses
Primary practice location
712 N Central Ave
Flagler Beach, FL 32136-3338
Mailing address
712 N Central Ave
Flagler Beach, FL 32136-3338
Phone (386) 439-4324
Other providers in Flagler Beach, FL
- Shri Govind LLC
- Shri Govind LLC
- Gena Snead
- Scott David Stafford
- William Edward Starke
- Carolyn Sue Stier
- Andreas Patrick Stocker
- Lisa Tanner-Sweeters
- Holly Tarantola
- James S Tarantola
All providers in Flagler Beach, FL · Speech-Language Pathologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.