Provider Demographics
NPI:1619054467
Name:STEIN, CECILE L (PHD, CCC, LIC)
Entity Type:Individual
Prefix:DR
First Name:CECILE
Middle Name:L
Last Name:STEIN
Suffix:
Gender:F
Credentials:PHD, CCC, LIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 GREENRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-3216
Mailing Address - Country:US
Mailing Address - Phone:914-949-2059
Mailing Address - Fax:914-761-2396
Practice Address - Street 1:168 GREENRIDGE AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-3216
Practice Address - Country:US
Practice Address - Phone:914-761-2396
Practice Address - Fax:914-761-2396
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001137-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist