Doctor Name: | STELLA MARY SAMMANASUPOKORZYNSKI |
NPI Number: | 1134455108 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,CCC-SLP |
License Number: | |
Business Practice Address: | 2612.south Third Ave Alpena, MI - 49707 |
Business Phone Number: | 9893582761 |
Business Fax Number: | |
Mailing Address: | 2612 S Third Ave, ALPENA |
State: | MI |
Postal Code: | 497073313 |
Phone Number: | 9893582761 |
Fax Number: | |
NPI Enumeration Date: | 10/27/2009 |
NPI Last Update Date: | 03/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |