National Provider Identifier

Stephanie J Hereth, MS, CCC-SLP

Stephanie J Hereth, MS, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in West Falls, NY and a listed phone number of (716) 941-6148.

NPI 1669628905West Falls, NYSpeech-Language Pathologist

Profile Overview

NPI
1669628905
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
August 18, 2008
Last Updated
August 18, 2008

Practice Location

  • 7594 Center RD.
  • West Falls, NY 14170-9644

Phone: (716) 941-6148

Mailing Address

  • 7594 Center RD
  • West Falls, NY 14170-9644

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1669628905
Entity Type
Individual
Last Name
Hereth
First Name
Stephanie
Middle Name
J
Credential
MS, CCC-SLP
Mailing Street Address
7594 Center RD
Mailing City
West Falls
Mailing State
NY
Mailing ZIP Code
14170-9644
Mailing Country
US
Mailing Phone
(716) 941-6148
Practice Street Address
7594 Center RD.
Practice City
West Falls
Practice State
NY
Practice ZIP Code
14170-9644
Practice Country
US
Practice Phone
(716) 941-6148
Enumeration Date
August 18, 2008
Last Updated
August 18, 2008
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)