Provider Demographics
NPI:1770893893
Name:STONEFIELD, ROSS
Entity type:Individual
Prefix:MR
First Name:ROSS
Middle Name:
Last Name:STONEFIELD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 LACRUE ST.
Mailing Address - Street 2:
Mailing Address - City:CONCORDVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19331
Mailing Address - Country:US
Mailing Address - Phone:610-927-7964
Mailing Address - Fax:
Practice Address - Street 1:9 LA CRUE ST.
Practice Address - Street 2:
Practice Address - City:CONCORDVILLE
Practice Address - State:PA
Practice Address - Zip Code:19331
Practice Address - Country:US
Practice Address - Phone:610-927-7964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-08
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE01-0001065235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist