Provider Demographics
NPI:1508412289
Name:STUTTERING THERAPY AND RESOURCE CENTER
Entity Type:Organization
Organization Name:STUTTERING THERAPY AND RESOURCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:STEFFI
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOPICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-297-4416
Mailing Address - Street 1:38 S OYSTER BAY RD
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-5033
Mailing Address - Country:US
Mailing Address - Phone:516-297-4416
Mailing Address - Fax:
Practice Address - Street 1:38 S OYSTER BAY RD
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-5033
Practice Address - Country:US
Practice Address - Phone:516-297-4416
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-17
Last Update Date:2019-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty