| Doctor Name: | MR. STEPHEN GERARD EBERT |
| NPI Number: | 1871711697 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | SLP |
| License Number: | 5782 |
| Business Practice Address: | 2060 Upper 55th St E Inver Grove Heights, MN - 550771725 |
| Business Phone Number: | 9529552242 |
| Business Fax Number: | 9529552010 |
| Mailing Address: | 204 Lewis Ave S, Ste 210 WATERTOWN |
| State: | MN |
| Postal Code: | 553884500 |
| Phone Number: | 9529552242 |
| Fax Number: | 9529552010 |
| NPI Enumeration Date: | 04/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 5782 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| 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 |