| Doctor Name: | MS. ELAINE MARIA STEVICK |
| NPI Number: | 1043366198 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., C.C.C.-SLP |
| License Number: | SP2710 |
| Business Practice Address: | 1301 Redwood Way Suite 165 Petaluma, CA - 949541107 |
| Business Phone Number: | 7077636419 |
| Business Fax Number: | 7077632537 |
| Mailing Address: | 1301 Redwood Way, Suite 165 PETALUMA |
| State: | CA |
| Postal Code: | 949541107 |
| Phone Number: | 7077636419 |
| Fax Number: | 7077632537 |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP2710 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |