| Doctor Name: | MRS. STEPHANIE POPADIC |
| NPI Number: | 1205112000 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MHS, CCC-SLP |
| License Number: | SP 1190 |
| Business Practice Address: | 601 Sheffield Ave Dyer, IN - 463111167 |
| Business Phone Number: | 2193222273 |
| Business Fax Number: | |
| Mailing Address: | 9834 Parkway Dr, HIGHLAND |
| State: | IN |
| Postal Code: | 463222781 |
| Phone Number: | 7083517783 |
| Fax Number: | |
| NPI Enumeration Date: | 10/25/2011 |
| NPI Last Update Date: | 10/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP 1190 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | HI |
| 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 |