Provider Demographics
NPI:1770639007
Name:AHLBRAND, STEFANIE LYNN (MA,CCC-SLP)
Entity Type:Individual
Prefix:
First Name:STEFANIE
Middle Name:LYNN
Last Name:AHLBRAND
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15009 CATLIN TILTON RD
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:61834-5176
Mailing Address - Country:US
Mailing Address - Phone:217-443-8273
Mailing Address - Fax:217-443-0217
Practice Address - Street 1:15009 CATLIN TILTON RD
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IL
Practice Address - Zip Code:61834-5176
Practice Address - Country:US
Practice Address - Phone:217-443-8273
Practice Address - Fax:217-443-0217
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-27
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146004603235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist