Doctor Name: | DAWN DI STEFANO |
NPI Number: | 1124296405 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC/SLP |
License Number: | 41YS00418400 |
Business Practice Address: | 1 Pelican Dr Suite 5 Bayville, NJ - 087211600 |
Business Phone Number: | 7322378830 |
Business Fax Number: | 7322378836 |
Mailing Address: | 1 Pelican Dr, Suite 5 BAYVILLE |
State: | NJ |
Postal Code: | 087211600 |
Phone Number: | 7322378830 |
Fax Number: | 7322378836 |
NPI Enumeration Date: | 02/20/2008 |
NPI Last Update Date: | 01/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00418400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |