Individual
MS. BRITTANY NICOLE STAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
6144 ROUTE 25A, WADING RIVER, NY 11792
(631) 258-3362
Mailing address
182 FARM RD E, WADING RIVER, NY 11792-1719
(631) 258-3362
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/06/2016
Last updated
03/12/2019
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