Alicia A Stephenson, M.S., CCC, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12063957 Issued in TX

Practice address

6601 Blanco Rd
# 160
San Antonio, TX 78216-6102

Phone

(210) 525-8851

Fax

(210) 525-8854

NPI assigned

Jul 8, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Outreach Pediatric Therapy, Inc

  • Pediatric Occupational Therapist
  • San Antonio, TX
  • NPI 1740300581

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247011200000",
    "number": "1851520183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 BLANCO RD",
            "address_2": "#160",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166102",
            "telephone_number": "210-525-8851",
            "fax_number": "210-525-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 BLANCO RD",
            "address_2": "# 160",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166102",
            "telephone_number": "210-525-8851",
            "fax_number": "210-525-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "ALICIA",
        "middle_name": "A",
        "credential": "M.S., CCC, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "12063957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Robert Stephens
• Samantha Lynn Stephens, FNP
• Sara Elizabeth Stephens, M.A.CCC-SLP
• Stevie-Durrell Stephens, CTRS
• Thaftney Stephens, COTA
• Georgia S Stephenson, MD
• Leanne Stephenson, M.D.
• Melissa Cassandra Stephenson, NP-C
• Julie D Stepp, BCBA
• Stepping Stones Day Hablitation, LLC

• Speech-Language Pathologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.