Centera, Stephanie Rose

Centera, Stephanie Rose is an individual health care provider with primary practice located at 1515 N. Lake Havasu Ave. Ste #100, Lake Havasu City AZ 86404. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Speech, Language and Hearing Service Providers / Speech-Language Assistant. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Centera, Stephanie Rose can be contacted via phone (928) 854-5439.

Contact Information

Primary practice address
1515 N. Lake Havasu Ave. Ste #100 Lake Havasu City AZ 86404
Phone: (928) 854-5439
Fax: (928) 854-5440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP10564 Arizona
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X SLPA10564 Arizona

Profile Details

NPI number 1629507272
LBN Legal business name Centera, Stephanie Rose
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2017
Last updated Dec 7th, 2023 - about 3 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 1629507272 NPPES
Arizona MEDICAID 274297

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