Stephanie Fuqua, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Robinson, TX
NPI 1801533211 · NPPES record last updated May 17, 2022
Key facts
- NPI
- 1801533211
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 110245 (TX)
- Practice address
- 500 W Lyndale Ave
Robinson, TX 76706-5505 - Phone
- (254) 662-0194
- NPI assigned
- May 17, 2022
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110245 | TX | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 110245 | TX | Yes |
Addresses
Primary practice location
500 W Lyndale Ave
Robinson, TX 76706-5505
Mailing address
500 W Lyndale Ave
Robinson, TX 76706-5505
Phone (972) 795-1315
Other providers in Robinson, TX
- Jerrika Fraser
- Kyndall Freedman
- Paul A. Friedman
- Alexandria Frizzell
- Lisa Fuentes
- Leslie Galvan
- Jonathan Gamble
- Fernanda Garcia
- Kayla Gardner
- Jacob Gaskill
All providers in Robinson, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2022. 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.