Provider Demographics
NPI:1033306253
Name:SANTOSTEFANO, JOYCE ANN (MS CCC)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:ANN
Last Name:SANTOSTEFANO
Suffix:
Gender:F
Credentials:MS CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:769 S MAIN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102-5166
Mailing Address - Country:US
Mailing Address - Phone:603-641-6700
Mailing Address - Fax:603-623-3611
Practice Address - Street 1:769 S MAIN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-5166
Practice Address - Country:US
Practice Address - Phone:603-641-6700
Practice Address - Fax:603-623-3611
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-02
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0033235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist