Most Relevant Information
Provider Data
| NPI Number: | 1003311697 |
| Provider Name: | STEPHANIE JANESSA MORAN M.A CCC-SLP TSSLD/BE |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | NA |
Most Important Dates
| Enumeration Date: | 03/27/2018 |
| Last Updated: | 10/04/2023 |
Provider Practice Location
59 ELLIOT ST
ISLIP
NY
117512035
Practice Location Phone/Fax
| Phone: | 6315216406 |
| Fax: |
Provider Mailing Location
639 AMERICUS AVE
EAST PATCHOGUE
NY
117725105
Provider Mailing Phone/Fax
| Phone: | 6315216406 |
| Fax: |