Stephanie Sorrels, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

.0003797 Issued in CO

Practice address

4301 N Federal Hwy Ste 2
Pompano Beach, FL 33064-6519

Phone

(888) 880-9270

Fax

(954) 342-0273

NPI assigned

Jul 16, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1629419866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2638 W 44TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111447",
            "telephone_number": "713-305-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 N FEDERAL HWY STE 2",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646519",
            "telephone_number": "888-880-9270",
            "fax_number": "954-342-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORRELS",
        "first_name": "STEPHANIE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": ".0003797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Parvaty Johana Soto de Leitao, PHD. CHAPLAINCY
• Ricardo Javier Soto Mendez
• Alexandra Soto
• Cynthia Maria Soto, BA

• Speech-Language Pathologist in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.