Provider Demographics
NPI:1245763341
Name:STANKIEWITCH, EMILY K (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:K
Last Name:STANKIEWITCH
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 GLENN ROSE CIR
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1783
Mailing Address - Country:US
Mailing Address - Phone:570-573-1932
Mailing Address - Fax:
Practice Address - Street 1:2909 WHITEHALL RD
Practice Address - Street 2:
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19403-4400
Practice Address - Country:US
Practice Address - Phone:484-965-9820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-05
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL013362235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist