Provider Demographics
NPI:1275908535
Name:MILLMAN, STEPHANIE ALYSSA (MS CF-SLP)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:ALYSSA
Last Name:MILLMAN
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:ALYSSA
Other - Last Name:DORSCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CF-SLP
Mailing Address - Street 1:63 DISBROW CIR
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-2503
Mailing Address - Country:US
Mailing Address - Phone:914-552-3145
Mailing Address - Fax:
Practice Address - Street 1:63 DISBROW CIR
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10804-2503
Practice Address - Country:US
Practice Address - Phone:914-552-3145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-11
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist