Individual
STEPHANIE ITZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 LEDGE RD, DARIEN, CT 06820-4439
(203) 533-8161
Mailing address
18 ISLAND HEIGHTS DR, STAMFORD, CT 06902-5417
(775) 843-9639
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
006750
CT
235Z00000X
Speech-Language Pathologist
Primary
SP-1576
NV
Other
Enumeration date
06/30/2014
Last updated
02/25/2026
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