Doctor Name: | STEPHANIE A MCCLELLAN |
NPI Number: | 1013183672 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 01-0000766 |
Business Practice Address: | 100 Enterprise Pl Suite1 Dover, DE - 199048202 |
Business Phone Number: | 3026783353 |
Business Fax Number: | |
Mailing Address: | 102 Hunting Way, SMYRNA |
State: | DE |
Postal Code: | 199779524 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/05/2008 |
NPI Last Update Date: | 05/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 01-0000766 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |