Doctor Name: | JUDY STOCEKLIN |
NPI Number: | 1922143080 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 0291 |
Business Practice Address: | 67 Communication Dr Laconia, NH - 032461440 |
Business Phone Number: | 6035248811 |
Business Fax Number: | 6035240288 |
Mailing Address: | Po Box 509, LACONIA |
State: | NH |
Postal Code: | 032470509 |
Phone Number: | 6035248811 |
Fax Number: | 6035240288 |
NPI Enumeration Date: | 02/20/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0291 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
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 |