National Provider Identifier
Stephanie Anne Drake, CCC-SLP, L-SLP
Stephanie Anne Drake, CCC-SLP, L-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Walworth, NY and a listed phone number of (315) 986-3521.
Profile Overview
- NPI
- 1578847885
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- October 05, 2011
- Last Updated
- October 05, 2011
Practice Location
- 1500 Dayspring Drive
- Walworth, NY 14568
Phone: (315) 986-3521
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1578847885
- Entity Type
- Individual
- Last Name
- Drake
- First Name
- Stephanie
- Middle Name
- Anne
- Name Prefix
- Mrs.
- Credential
- CCC-SLP, L-SLP
- Mailing Street Address
- 1500 Dayspring Drive
- Mailing City
- Walworth
- Mailing State
- NY
- Mailing ZIP Code
- 14568
- Mailing Country
- US
- Mailing Phone
- (315) 986-3521
- Practice Street Address
- 1500 Dayspring Drive
- Practice City
- Walworth
- Practice State
- NY
- Practice ZIP Code
- 14568
- Practice Country
- US
- Practice Phone
- (315) 986-3521
- Enumeration Date
- October 05, 2011
- Last Updated
- October 05, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)