Provider Demographics
NPI:1962641084
Name:BAFFONE, STEPHANIE A (LPCMH)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:A
Last Name:BAFFONE
Suffix:
Gender:F
Credentials:LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 FOX DEN RD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-4204
Mailing Address - Country:US
Mailing Address - Phone:302-738-2393
Mailing Address - Fax:
Practice Address - Street 1:28 FOX DEN RD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-4204
Practice Address - Country:US
Practice Address - Phone:302-738-2393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-12
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000424101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health