Carrillo, Stephanie Colleen

Carrillo, Stephanie Colleen is an sole proprietor health care provider with primary practice located at 5225 S Loop 289 Ste 210, Lubbock TX 79424-1363. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Carrillo, Stephanie Colleen can be contacted via phone (806) 780-4180.

Contact Information

Primary practice address
5225 S Loop 289 Ste 210 Lubbock TX 79424-1363
Phone: (806) 780-4180
Fax: (806) 744-7458
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 100284 Texas

Profile Details

NPI number 1487794517
LBN Legal business name Carrillo, Stephanie Colleen
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Jun 11th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487794517 NPPES
Texas MEDICAID 178080101
Texas Other 8T3636
Texas Other 134759100

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