National Provider Identifier
Stephanie Fackelman
Stephanie Fackelman is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Niagara Falls, NY and a listed phone number of (716) 297-1478.
Profile Overview
- NPI
- 1205060688
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 13, 2009
- Last Updated
- May 13, 2009
Practice Location
- 9812 Lockport RD
- Niagara Falls, NY 14304-1114
Phone: (716) 297-1478
Mailing Address
- 5567 Upper Holley RD
- Holley, NY 14470-9782
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1205060688
- Entity Type
- Individual
- Last Name
- Fackelman
- First Name
- Stephanie
- Mailing Street Address
- 5567 Upper Holley RD
- Mailing City
- Holley
- Mailing State
- NY
- Mailing ZIP Code
- 14470-9782
- Mailing Country
- US
- Practice Street Address
- 9812 Lockport RD
- Practice City
- Niagara Falls
- Practice State
- NY
- Practice ZIP Code
- 14304-1114
- Practice Country
- US
- Practice Phone
- (716) 297-1478
- Enumeration Date
- May 13, 2009
- Last Updated
- May 13, 2009
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)