| Doctor Name: | STEPHANIE CRUZ |
| NPI Number: | 1043610959 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 134 W 26th St Suite #602 New York, NY - 100016803 |
| Business Phone Number: | 2126049360 |
| Business Fax Number: | |
| Mailing Address: | 128 23rd St, Fl 3 BROOKLYN |
| State: | NY |
| Postal Code: | 112321111 |
| Phone Number: | 7144943552 |
| Fax Number: | |
| NPI Enumeration Date: | 08/27/2014 |
| NPI Last Update Date: | 08/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| 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 |