National Provider Identifier
Stephanie Nicole Penrod
Stephanie Nicole Penrod is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Fairport, NY and a listed phone number of (585) 377-2230.
Profile Overview
- NPI
- 1548519259
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- September 10, 2012
- Last Updated
- February 08, 2021
Practice Location
- 149 N Main St
- Fairport, NY 14450-1434
Phone: (585) 377-2230
Mailing Address
- 3001 Spring Forest RD
- Raleigh, NC 27616-2815
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1548519259
- Entity Type
- Individual
- Last Name
- Penrod
- First Name
- Stephanie
- Middle Name
- Nicole
- Name Prefix
- Mrs.
- Mailing Street Address
- 3001 Spring Forest RD
- Mailing City
- Raleigh
- Mailing State
- NC
- Mailing ZIP Code
- 27616-2815
- Mailing Country
- US
- Mailing Phone
- (919) 424-5080
- Mailing Fax
- (919) 424-5085
- Practice Street Address
- 149 N Main St
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1434
- Practice Country
- US
- Practice Phone
- (585) 377-2230
- Practice Fax
- (585) 377-2243
- Enumeration Date
- September 10, 2012
- Last Updated
- February 08, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 08, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)