Doctor Name: | STEPHANIE J. SKIBINSKI |
NPI Number: | 1558759746 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS-CCC/SLP |
License Number: | 2202003347 |
Business Practice Address: | 11240 Waples Mill Rd Ste.101 Fairfax, VA - 220306078 |
Business Phone Number: | 7032372219 |
Business Fax Number: | |
Mailing Address: | 7718 Martin Allen Ct., ALEXANDRIA |
State: | VA |
Postal Code: | 22315 |
Phone Number: | 7033390214 |
Fax Number: | |
NPI Enumeration Date: | 12/23/2014 |
NPI Last Update Date: | 12/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202003347 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |