MRS. STEPHANIE ROSE CENTERA


Address: 1515 N. Lake Havasu Ave., Ste #100, Lake Havasu City, AZ 86404
Phone: 9288545439

MRS. STEPHANIE ROSE CENTERA (NPI# 1629507272) 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) 1629507272
Entity Type Individual
Full Name MRS. STEPHANIE ROSE CENTERA
Other Name MS. STEPHANIE ROSE SANTOS
Credential SLPA
Practice Address 1515 N. Lake Havasu Ave.
Ste #100
Lake Havasu City
AZ 86404
Mailing Address 1515 N. Lake Havasu Ave
Ste #100
Lake Havasu City
AZ 86404
Practice Telephone 9288545439
Practice Fax Number 9288545440
Mailing Telephone 9288545439
Mailing Fax Number 9288545440
Enumeration Date 2017-06-07
Last Update Date 2018-03-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2355S0801X Specialist/Technologist
Specialization: Speech-Language Assistant
SLPA10564 AZ Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 274297 05

Office Location

Street Address 1515 N. LAKE HAVASU AVE.
STE #100
City LAKE HAVASU CITY
State AZ
Zip Code 86404

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386701431 Colleen Lynn Mcshea Speech-Language Pathologist 1515 N. Lake Havasu Ave., Suite 100, Lake Havasu City, AZ 86404 2007-01-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770091241 Scott Schultz Physician Assistant 1055 N 500 W Ste 121, Building C, Provo, UT 86404 2018-01-17
1093181968 Chelsea Bailey Occupational Therapist 1515 N. Lake Havasu Avenue, Suite #100, Lake Havasu City, AZ 86404 2015-08-14
1952681520 Jason John George Physical Therapist 1515 N. Lake Havasu Ave, #100, Lake Havasu City, AZ 86404 2011-08-26
1396079323 Desert Hills Fire District Personal Emergency Response Attendant 3983 London Bridge Rd, Lake Havasu City, AZ 86404 2009-09-23
1548446990 Usv Optical Inc Eyewear Supplier (Equipment, not the service) 5651 Hwy 95 North, Lake Havasu, AZ 86404 2008-01-16
1053978593 Andrew David Skorheim Pharmacist Walmart Pharmacy, 5695 Highway 95 N, Lake Havasu City, AZ 86404 2019-05-21
1104267491 Nicole B. Buth Speech-Language Pathologist 1515 N. Lake Havasu Ave, Ste #100, Lake Havasu City, AZ 86404 2013-07-15
1518361195 Steven Elzinga Occupational Therapist 1515 Lake Havasu Ave N, Suite #100, Lake Havasu City, AZ 86404-1177 2014-10-10
1275853871 Karen Ann Olsavsky Specialist/Technologist 1515 Lake Havasu Ave N Ste 100, Lake Havasu City, AZ 86404-1177 2010-06-04
1588282586 Teoni Kosters Specialist/Technologist 1515 Lake Havasu Ave N Ste 100, Lake Havasu City, AZ 86404-1177 2020-07-07
Find all providers in zip 86404

Taxonomy Information

Taxonomy Code 2355S0801X
Grouping Speech, Language and Hearing Service Providers
Classification Specialist/Technologist
Specialization Speech-Language Assistant

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740771674 Stefanie Jeane Alliss Specialist/Technologist 3180 Arapaho Dr Apt 101, Lake Havasu City, AZ 86406-5778 2018-05-26
1255865648 Cassidy Flenner Specialist/Technologist 3887 Bluegrass Dr, Lake Havasu City, AZ 86406-4362 2017-04-12
1104225192 Lindsey Werbiskis Specialist/Technologist 2395 Smoketree Ave N, Lake Havasu City, AZ 86403-5876 2014-08-15
1376884700 Allison Joy Fuoco Specialist/Technologist 1795 Bimini Ln, Lake Havasu City, AZ 86403-4785 2013-03-11
1275853871 Karen Ann Olsavsky Specialist/Technologist 1515 Lake Havasu Ave N Ste 100, Lake Havasu City, AZ 86404-1177 2010-06-04
1205168564 Susan Falzon Specialist/Technologist 1230 Crater Cir, Lake Havasu City, AZ 86404-1441 2010-02-10
1588282586 Teoni Kosters Specialist/Technologist 1515 Lake Havasu Ave N Ste 100, Lake Havasu City, AZ 86404-1177 2020-07-07
1740810274 Carol Pichardo Specialist/Technologist 2395 Smoketree Ave N, Lake Havasu City, AZ 86403-5876 2020-01-23
1376187641 Lauren Irene Cooper Specialist/Technologist 1515 Lake Havasu Ave N Ste 100, Lake Havasu City, AZ 86404-1177 2019-10-30
1588198345 Carissa Farrington Specialist/Technologist 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 2017-04-18
Find all providers in LAKE HAVASU CITY

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City LAKE HAVASU CITY
Zip Code 86404

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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.

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