Provider Demographics
NPI:1851864300
Name:DIGRAZIA, STEFANIE D (MS, CCC-SLP, TSSLP)
Entity Type:Individual
Prefix:
First Name:STEFANIE
Middle Name:D
Last Name:DIGRAZIA
Suffix:
Gender:F
Credentials:MS, CCC-SLP, TSSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 KENILWORTH RD
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-4621
Mailing Address - Country:US
Mailing Address - Phone:516-860-2641
Mailing Address - Fax:
Practice Address - Street 1:58 KENILWORTH RD
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-4621
Practice Address - Country:US
Practice Address - Phone:516-860-2641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist