Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Durant Vilisio Stephenson, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1629668454

Mr. Durant Vilisio Stephenson, CCC-SLP is a Speech-Language Pathologist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

3732 Veteran Ave Apt 206
Los Angeles, CA 90034-7058
Phone: (917) 312-5188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 18819 (CA)

Record details

NPI number1629668454
Entity typeIndividual (Type 1)
GenderMale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedJanuary 25, 2021
Last updated in NPPESJanuary 25, 2021
Certification dateJanuary 25, 2021

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