Provider Demographics
NPI:1154683647
Name:STEPANSKY, INNA (MS CCC-SLP TSSLD)
Entity Type:Individual
Prefix:
First Name:INNA
Middle Name:
Last Name:STEPANSKY
Suffix:
Gender:F
Credentials:MS CCC-SLP TSSLD
Other - Prefix:
Other - First Name:INNA
Other - Middle Name:
Other - Last Name:ELTERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1537 ROYCE ST
Mailing Address - Street 2:UNIT 2B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5883
Mailing Address - Country:US
Mailing Address - Phone:917-463-8094
Mailing Address - Fax:
Practice Address - Street 1:1537 ROYCE ST
Practice Address - Street 2:UNIT 2B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-5883
Practice Address - Country:US
Practice Address - Phone:917-463-8094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-12
Last Update Date:2014-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist