National Provider Identifier

Stephanie Bruckman, M.S.CCC-SLP

Stephanie Bruckman, M.S.CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Spencerport, NY and a listed phone number of (585) 349-5455.

NPI 1437431608Spencerport, NYSpeech-Language Pathologist

Profile Overview

NPI
1437431608
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
September 14, 2011
Last Updated
September 14, 2011

Practice Location

  • 1 Bernabi RD
  • Spencerport, NY 14559-1800

Phone: (585) 349-5455

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1437431608
Entity Type
Individual
Last Name
Bruckman
First Name
Stephanie
Name Prefix
Mrs.
Credential
M.S.CCC-SLP
Mailing Street Address
1 Bernabi RD
Mailing City
Spencerport
Mailing State
NY
Mailing ZIP Code
14559-1800
Mailing Country
US
Mailing Phone
(585) 349-5455
Practice Street Address
1 Bernabi RD
Practice City
Spencerport
Practice State
NY
Practice ZIP Code
14559-1800
Practice Country
US
Practice Phone
(585) 349-5455
Enumeration Date
September 14, 2011
Last Updated
September 14, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)
Other Identifiers
021391-1 (NY)