Provider Demographics
NPI:1922446087
Name:LADDEN, STEFANIE (MS, CCC-SLL/SLP)
Entity Type:Individual
Prefix:MRS
First Name:STEFANIE
Middle Name:
Last Name:LADDEN
Suffix:
Gender:F
Credentials:MS, CCC-SLL/SLP
Other - Prefix:MISS
Other - First Name:STEFANIE
Other - Middle Name:
Other - Last Name:ROSENFELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLL/SLP
Mailing Address - Street 1:26 MIANUS DR
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10506-1908
Mailing Address - Country:US
Mailing Address - Phone:914-319-3431
Mailing Address - Fax:
Practice Address - Street 1:26 MIANUS DR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NY
Practice Address - Zip Code:10506-1908
Practice Address - Country:US
Practice Address - Phone:914-319-3431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-11
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242.002529235Z00000X
NY023872235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist