Provider Demographics
NPI:1376307660
Name:STEPANSKY, ERICA MICHELLE (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:MICHELLE
Last Name:STEPANSKY
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 1:5103 MEADOWVIEW AVE UNIT 1
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-3160
Mailing Address - Country:US
Mailing Address - Phone:908-839-2775
Mailing Address - Fax:
Practice Address - Street 1:5103 MEADOWVIEW AVE UNIT 1
Practice Address - Street 2:
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-3160
Practice Address - Country:US
Practice Address - Phone:908-839-2775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS01219000235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty