National Provider Identifier
Stephanie L Takash, M.ED
Stephanie L Takash, M.ED is listed in the NPPES registry with a primary specialty of Specialist in Mount Morris, NY and a listed phone number of (585) 658-4023.
Profile Overview
- NPI
- 1538595129
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- September 16, 2013
- Last Updated
- September 16, 2013
Practice Location
- 5871 Groveland Station RD
- Mount Morris, NY 14510-9767
Phone: (585) 658-4023
Mailing Address
- 2114 York RD W
- Linwood, NY 14486-9719
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1538595129
- Entity Type
- Individual
- Last Name
- Takash
- First Name
- Stephanie
- Middle Name
- L
- Name Prefix
- Mrs.
- Credential
- M.ED
- Provider Other Last Name
- Takash
- Provider Other First Name
- Stephanie
- Provider Other Middle Name
- Lynne
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- M.ED
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 2114 York RD W
- Mailing City
- Linwood
- Mailing State
- NY
- Mailing ZIP Code
- 14486-9719
- Mailing Country
- US
- Mailing Phone
- (229) 886-2903
- Practice Street Address
- 5871 Groveland Station RD
- Practice City
- Mount Morris
- Practice State
- NY
- Practice ZIP Code
- 14510-9767
- Practice Country
- US
- Practice Phone
- (585) 658-4023
- Enumeration Date
- September 16, 2013
- Last Updated
- September 16, 2013
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)