Provider Demographics
NPI:1376015073
Name:REED-FOTI, STEPHANIE TAYLOR (SLPD, CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:TAYLOR
Last Name:REED-FOTI
Suffix:
Gender:F
Credentials:SLPD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 JORAY CT
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-3936
Mailing Address - Country:US
Mailing Address - Phone:908-420-8540
Mailing Address - Fax:
Practice Address - Street 1:10 JORAY CT
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-3936
Practice Address - Country:US
Practice Address - Phone:908-420-8540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-19
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
41YS00837200235Z00000X
NJ41YS00837200235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist