Doctor Name: | STEPHANIE BEJTLICH |
NPI Number: | 1225328222 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 7482 |
Business Practice Address: | 107 Otis St Northborough, MA - 015322459 |
Business Phone Number: | 5088982688 |
Business Fax Number: | 5083193200 |
Mailing Address: | 116 Rantoul St, Unit 503 BEVERLY |
State: | MA |
Postal Code: | 019154259 |
Phone Number: | 6177976133 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2011 |
NPI Last Update Date: | 04/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7482 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |