Provider Demographics
NPI:1356620199
Name:BARON, STEPHANIE SNOW (MAC L AC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:SNOW
Last Name:BARON
Suffix:
Gender:F
Credentials:MAC L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 SHARON LANE
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19403
Mailing Address - Country:US
Mailing Address - Phone:610-745-8876
Mailing Address - Fax:
Practice Address - Street 1:3201 SHARON LN
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19403-4141
Practice Address - Country:US
Practice Address - Phone:610-745-8876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-10
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK00976171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist