Provider Demographics
NPI:1801782438
Name:STOUFFER, DANIEL CHRISTIAN (CCC, SLP)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:CHRISTIAN
Last Name:STOUFFER
Suffix:
Gender:M
Credentials:CCC, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 BLACK WALNUT DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-6131
Mailing Address - Country:US
Mailing Address - Phone:860-502-9034
Mailing Address - Fax:
Practice Address - Street 1:101 N PLAINS INDUSTRIAL RD STE 3
Practice Address - Street 2:
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-5835
Practice Address - Country:US
Practice Address - Phone:933-720-3949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT8146235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist