Provider Demographics
NPI:1144827015
Name:STEVENS, LA'TEY (MS, CF-SLP, TSSLD)
Entity type:Individual
Prefix:
First Name:LA'TEY
Middle Name:
Last Name:STEVENS
Suffix:
Gender:F
Credentials:MS, CF-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:831 IRIS PL
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-4005
Mailing Address - Country:US
Mailing Address - Phone:347-439-2757
Mailing Address - Fax:
Practice Address - Street 1:831 IRIS PL
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-4005
Practice Address - Country:US
Practice Address - Phone:347-439-2757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist