Provider Demographics
NPI:1528208048
Name:STEPHEY, MAGDALENA WILSON (MS, CCC/SLP-L)
Entity Type:Individual
Prefix:MRS
First Name:MAGDALENA
Middle Name:WILSON
Last Name:STEPHEY
Suffix:
Gender:F
Credentials:MS, CCC/SLP-L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:638 BRANDYWINE PKWY
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4278
Mailing Address - Country:US
Mailing Address - Phone:610-436-3800
Mailing Address - Fax:
Practice Address - Street 1:801 MCCOMB LN
Practice Address - Street 2:
Practice Address - City:CHADDS FORD
Practice Address - State:PA
Practice Address - Zip Code:19317-9228
Practice Address - Country:US
Practice Address - Phone:215-478-2702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-24
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL008625235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist