Basic Information
| Provider Information | |||||||||
| NPI: | 1568642742 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KUENSTING | ||||||||
| FirstName: | STEPHANIE | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | MS, CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2109 PINE NEEDLE WAY | ||||||||
| Address2: | |||||||||
| City: | LAS CRUCES | ||||||||
| State: | NM | ||||||||
| PostalCode: | 880126037 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5753124173 | ||||||||
| FaxNumber: | 5753730672 | ||||||||
| Practice Location | |||||||||
| Address1: | REHABILITATION HOSPITAL OF SOUTHERN NEW MEXICO | ||||||||
| Address2: | 4111 E. LOHMAN AVENUS | ||||||||
| City: | LAS CRUCES | ||||||||
| State: | NM | ||||||||
| PostalCode: | 88001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5755216400 | ||||||||
| FaxNumber: | 5755216405 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/06/2007 | ||||||||
| LastUpdateDate: | 11/06/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 3679 | NM | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.