Provider Demographics
NPI:1831301456
Name:HOOD, STEFANIE GABRIELE (DI)
Entity Type:Individual
Prefix:
First Name:STEFANIE
Middle Name:GABRIELE
Last Name:HOOD
Suffix:
Gender:F
Credentials:DI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 WHITE OAK TRCE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40511-8867
Mailing Address - Country:US
Mailing Address - Phone:859-608-2832
Mailing Address - Fax:
Practice Address - Street 1:237 WHITE OAK TRCE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40511-8867
Practice Address - Country:US
Practice Address - Phone:859-608-2832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY800222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist