Most Relevant Information
Provider Data
| NPI Number: | 1003299611 |
| Provider Name: | STEPHANIE VALDES |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 41YS00677200 |
Most Important Dates
| Enumeration Date: | 06/30/2015 |
| Last Updated: | 09/14/2016 |
Provider Practice Location
76 DANIEL AVE
RUTHERFORD
NJ
070702734
Practice Location Phone/Fax
| Phone: | 2017889315 |
| Fax: |
Provider Mailing Location
76 DANIEL AVE
RUTHERFORD
NJ
070702734
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |