Doctor Name: | DARAH STOUTAMIRE |
NPI Number: | 1457612327 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SA11055 |
Business Practice Address: | 64 Danbury Rd Wilton, CT - 06897 |
Business Phone Number: | 8002780332 |
Business Fax Number: | |
Mailing Address: | 1561 Sw 68th Ave, PLANTATION |
State: | FL |
Postal Code: | 33317 |
Phone Number: | 9543830640 |
Fax Number: | |
NPI Enumeration Date: | 06/06/2012 |
NPI Last Update Date: | 06/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA11055 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |