Doctor Name: | STEPHANIE MAIELLO |
NPI Number: | 1902275282 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC- SLP |
License Number: | 025085 |
Business Practice Address: | 80 Brick Church Rd Spring Valley, NY - 109772000 |
Business Phone Number: | 8455776270 |
Business Fax Number: | |
Mailing Address: | 108 Birch Ln, NEW CITY |
State: | NY |
Postal Code: | 109561734 |
Phone Number: | 8456423538 |
Fax Number: | |
NPI Enumeration Date: | 09/17/2015 |
NPI Last Update Date: | 09/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 025085 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |