Provider Demographics
NPI:1568603389
Name:TOLEDO, STEPHANIE KARIS DOWNEY (MS CCC- SLP)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:KARIS DOWNEY
Last Name:TOLEDO
Suffix:
Gender:F
Credentials:MS CCC- SLP
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:KARIS
Other - Last Name:DOWNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC- SLP
Mailing Address - Street 1:140 E 40TH ST APT 8F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-1757
Mailing Address - Country:US
Mailing Address - Phone:203-449-9468
Mailing Address - Fax:
Practice Address - Street 1:140 E 40TH ST APT 8F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-1757
Practice Address - Country:US
Practice Address - Phone:203-449-9468
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-09
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY58018366235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
12119320OtherAMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
NY58018366OtherNEW YORK STATE EDUCATION DEPARTMENT