Provider Demographics
NPI:1336385400
Name:CAHALY, STACEY ROZZI
Entity Type:Individual
Prefix:
First Name:STACEY
Middle Name:ROZZI
Last Name:CAHALY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:STACEY
Other - Middle Name:ANNE
Other - Last Name:ROZZI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:125 BREWSTER RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-2003
Mailing Address - Country:US
Mailing Address - Phone:914-472-8632
Mailing Address - Fax:
Practice Address - Street 1:125 BREWSTER RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-2003
Practice Address - Country:US
Practice Address - Phone:914-472-8632
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-19
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009827-01235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist