Provider Demographics
NPI:1710797865
Name:STEVENS SMITH, AUBRIE
Entity type:Individual
Prefix:
First Name:AUBRIE
Middle Name:
Last Name:STEVENS SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AUBRIE
Other - Middle Name:
Other - Last Name:STEVENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:701 PRAIRIE HAWK DR
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-8001
Mailing Address - Country:US
Mailing Address - Phone:303-387-0100
Mailing Address - Fax:
Practice Address - Street 1:6585 LIONSHEAD PKWY
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-9581
Practice Address - Country:US
Practice Address - Phone:303-387-6925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO24484077235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist