Provider Demographics
NPI:1881795987
Name:STEPHENS, EUPHAMA CAROL (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:EUPHAMA
Middle Name:CAROL
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HIGHWAY 43 E
Mailing Address - Street 2:SUITE7
Mailing Address - City:HARRISON
Mailing Address - State:AR
Mailing Address - Zip Code:72601-2116
Mailing Address - Country:US
Mailing Address - Phone:870-741-0500
Mailing Address - Fax:870-741-6196
Practice Address - Street 1:200 HIGHWAY 43 E
Practice Address - Street 2:SUITE7
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-2116
Practice Address - Country:US
Practice Address - Phone:870-741-0500
Practice Address - Fax:870-741-6196
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR714235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5T155OtherBLUE CROSS