National Provider Identifier

Stephanie Kay Deeney, M.A., CCC-SLP

Stephanie Kay Deeney, M.A., CCC-SLP is listed in the NPPES registry with a primary specialty of Early Intervention Provider Agency in Fairport, NY and a listed phone number of (585) 943-9871.

NPI 1255619599Fairport, NYEarly Intervention Provider Agency

Profile Overview

NPI
1255619599
Provider Type
Individual
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
August 03, 2011
Last Updated
September 05, 2018

Practice Location

  • 4 Chase View RD
  • Fairport, NY 14450

Phone: (585) 943-9871

Mailing Address

  • 4 Chase View RD
  • Fairport, NY 14450-9700

Specialties

  • Early Intervention Provider Agency (252Y00000X)
  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1255619599
Entity Type
Individual
Last Name
Deeney
First Name
Stephanie
Middle Name
Kay
Credential
M.A., CCC-SLP
Mailing Street Address
4 Chase View RD
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-9700
Mailing Country
US
Mailing Phone
(585) 943-9871
Practice Street Address
4 Chase View RD
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450
Practice Country
US
Practice Phone
(585) 943-9871
Enumeration Date
August 03, 2011
Last Updated
September 05, 2018
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Early Intervention Provider Agency (252Y00000X), Speech-Language Pathologist (235Z00000X)