Active NPIIndividual providerSole proprietor

Miss Stephanie L Jodice, MS-CCC

Speech-Language Pathologist, in Ellington, Connecticut

NPI Number1649573106
Practice location
1 Meagan Cir, Ellington, CT 06029-3670
Fax
—
Last updated
August 9, 2021

Stephanie Lynn-Poole Jodice is a Speech-Language Pathologist, based in Ellington, CT. Stephanie Lynn-Poole Jodice practices in Ellington, CT and has the professional credentials of MS-CCC. The NPI Number for Stephanie Lynn-Poole Jodice is 1649573106 and holds a License No. 004048 (CT). The current practice location address for Stephanie Lynn-Poole Jodice is 1 Meagan Cir, Ellington, CT 06029-3670 and can be reached out via phone at 413-636-9972.

Provider Profile Details

NPI Number
1649573106
Provider Name
Stephanie Lynn-Poole Jodice
Credential
MS-CCC
Provider Entity Type
Individual
Gender
Female
Address
1 Meagan Cir, Ellington, CT 06029-3670
Phone Number
413-636-9972
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 6, 2010
Last Update Date
August 9, 2021
Certification Date
August 9, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Meagan Cir
Ellington, CT 06029-3670
Zip
06029-3670
Phone Number
413-636-9972
Ellington, CT 06029Get directions →

Provider Business Mailing Address Details

Address
1 Meagan Cir
Ellington, CT 06029-3670
City
Ellington
State
CT
Zip
06029-3670
Phone Number
413-636-9972

License Information

License Number
004048
License State
CT
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miss Stephanie L Jodice, MS-CCC?

The NPI number of Miss Stephanie L Jodice, MS-CCC is 1649573106. It was assigned on December 6, 2010 and is currently active in the NPPES registry.

What is the specialty of Miss Stephanie L Jodice, MS-CCC?

Miss Stephanie L Jodice, MS-CCC is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in CT under license number 004048.

Where does Miss Stephanie L Jodice, MS-CCC practice?

The practice location is 1 Meagan Cir, Ellington, CT 06029-3670. The office can be reached at 413-636-9972 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649573106 directly on the NPPES registry website.

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