Active NPIIndividual provider

Stefanie M Elledge

Speech-Language Pathologist, in Shelton, Connecticut

NPI Number1861863268
Practice location
555 Bridgeport Ave, Shelton, CT 06484-4749
Fax
203-924-2334
Last updated
January 25, 2017

Stefanie M. Elledge is a Speech-Language Pathologist, based in Shelton, CT. Stefanie M. Elledge practices in Shelton, CT. The NPI Number for Stefanie M. Elledge is 1861863268 and holds a License No. 004988 (CT). The current practice location address for Stefanie M. Elledge is 555 Bridgeport Ave, Shelton, CT 06484-4749 and can be reached out via phone at 203-922-1773 and via fax at 203-924-2334.

Provider Profile Details

NPI Number
1861863268
Provider Name
Stefanie M. Elledge
Provider Entity Type
Individual
Gender
Female
Address
555 Bridgeport Ave, Shelton, CT 06484-4749
Phone Number
203-922-1773
Fax Number
203-924-2334
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
October 12, 2015
Last Update Date
January 25, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
555 Bridgeport Ave
Shelton, CT 06484-4749
Zip
06484-4749
Phone Number
203-922-1773
Fax Number
203-924-2334
Shelton, CT 06484Get directions →

Provider Business Mailing Address Details

Address
1931 Black Rock Tpke
Attn: Credentialing
Fairfield, CT 06825-3506
City
Fairfield
State
CT
Zip
06825-3506
Phone Number
203-332-4363
Fax Number
203-330-6761

License Information

License Number
004988
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 Stefanie M Elledge?

The NPI number of Stefanie M Elledge is 1861863268. It was assigned on October 12, 2015 and is currently active in the NPPES registry.

What is the specialty of Stefanie M Elledge?

Stefanie M Elledge is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in CT under license number 004988.

Where does Stefanie M Elledge practice?

The practice location is 555 Bridgeport Ave, Shelton, CT 06484-4749. The office can be reached at 203-922-1773 (phone) or 203-924-2334 (fax).

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 1861863268 directly on the NPPES registry website.

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