Individual
STEPHANIE KAY DEENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
4 CHASE VIEW RD, FAIRPORT, NY 14450
(585) 943-9871
Mailing address
4 CHASE VIEW RD, FAIRPORT, NY 14450-9700
(585) 943-9871
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
021139-1
NY
252Y00000X
Early Intervention Provider Agency
Primary
021139-1
NY
Other
Enumeration date
08/03/2011
Last updated
09/05/2018
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