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Individual

STEPHANIE C FERMIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2475 SUMMER ST, STAMFORD, CT 06905-4519
(203) 516-7005
Mailing address
106 ELMBROOK DR, STAMFORD, CT 06906-1114
(203) 516-7005

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
027447
NY
235Z00000X
Speech-Language Pathologist
5858
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05066688
NY
Enumeration date
02/23/2018
Last updated
05/12/2023
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