Doctor Name: | MRS. STACIE LYNN REXROAD-COLE |
NPI Number: | 1659508463 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | SL007552 |
Business Practice Address: | 1800 Village Cir Lancaster, PA - 176032376 |
Business Phone Number: | 7175098270 |
Business Fax Number: | |
Mailing Address: | 2964 Aster Ln, LITITZ |
State: | PA |
Postal Code: | 175437737 |
Phone Number: | 7175699977 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2009 |
NPI Last Update Date: | 06/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL007552 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |