DURANT VILISIO STEPHENSON
Speech-Language Pathologist

Address: 3732 Veteran Ave Apt 206, Los Angeles, CA 90034-7058

DURANT VILISIO STEPHENSON (NPI# 1629668454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629668454
Entity Type Individual
Full Name MR. DURANT VILISIO STEPHENSON
Gender Male
Credential CCC-SLP
Practice Address 3732 Veteran Ave Apt 206
Los Angeles
CA 90034-7058
Practice Telephone 9173125188
Mailing Address 3732 Veteran Ave Apt 206
Los Angeles
CA 90034-7058
Mailing Telephone 9173125188
Certification Date 2021-01-25
Enumeration Date 2021-01-25
Last Update Date 2021-01-25
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 193400000X SINGLE SPECIALTY GROUP 18819 CA Speech, Language and Hearing Service Providers

Office Location

Street Address 3732 VETERAN AVE APT 206
City LOS ANGELES
State CA
Zip Code 90034-7058

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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780273458 Chul S Park 525 S Ardmore Ave Apt 212, Los Angeles, CA 90020-3305 2021-01-15
1689263840 Daniel Philip Parratt 1132 S Oakhurst Dr Apt 7, Los Angeles, CA 90035-1331 2021-01-12
1316536758 Joy Dauer 452 S Las Palmas Ave, Los Angeles, CA 90020-4816 2021-01-11
1548858954 Bronwyn Noel Kao · Bronwyn Noel Fitzsimons 7508 W 90th St, Los Angeles, CA 90045-3427 2021-01-02
1457955601 Rebecca Kidanian 9042 Monte Mar Dr, Los Angeles, CA 90035-4227 2020-11-29
1912500281 Lillian Glass 10600 Wilshire Blvd Apt 610, Los Angeles, CA 90024-4568 2020-11-19
1770183626 Dina Kamionski 10592 Wilkins Ave, Los Angeles, CA 90024-6033 2020-10-29
1780295998 Teadora Taddeo 4909 Baltimore St, Los Angeles, CA 90042-2214 2020-08-11
1386254985 Christina Foucault Crowe 823 Teakwood Rd, Los Angeles, CA 90049-1329 2020-08-07
1811515273 Cathleen Wynne 4310 Finley Ave Apt 6, Los Angeles, CA 90027-2847 2020-07-10
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City LOS ANGELES
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.