Provider Demographics
NPI:1619499365
Name:STIEH, GRACE CATHERINE (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:GRACE
Middle Name:CATHERINE
Last Name:STIEH
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:MISS
Other - First Name:GRACE
Other - Middle Name:CATHERINE
Other - Last Name:BARRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC-SLP
Mailing Address - Street 1:1997 NY-17M #9
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924
Mailing Address - Country:US
Mailing Address - Phone:845-294-4787
Mailing Address - Fax:845-294-4790
Practice Address - Street 1:1997 NY-17M #9
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924
Practice Address - Country:US
Practice Address - Phone:845-294-4787
Practice Address - Fax:845-294-4790
Is Sole Proprietor?:No
Enumeration Date:2017-07-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL013568235Z00000X
235Z00000X
NY027583-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist