Individual
STACEY PFAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 S MAIN ST, DERRY, NH 03038
(603) 619-8731
Mailing address
21209 SCHOFIELD DR, GRETNA, NE 68028-3981
(701) 388-5397
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1325
ND
235Z00000X
Speech-Language Pathologist
Primary
EL10688
NH
Other
Enumeration date
10/30/2015
Last updated
12/05/2022
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