Provider Demographics
NPI:1841467016
Name:SILBER, STEPHANIE J (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:J
Last Name:SILBER
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:J
Other - Last Name:ZEIDLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:883 ROLLINGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:VILLA HILLS
Mailing Address - State:KY
Mailing Address - Zip Code:41017-4003
Mailing Address - Country:US
Mailing Address - Phone:859-512-5204
Mailing Address - Fax:859-512-5204
Practice Address - Street 1:883 ROLLINGWOOD DR
Practice Address - Street 2:
Practice Address - City:VILLA HILLS
Practice Address - State:KY
Practice Address - Zip Code:41017-4003
Practice Address - Country:US
Practice Address - Phone:859-512-5204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-15
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3891235Z00000X
12106090235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist