Individual
STEPHANIE ANNE HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
38 TALMADGE AVE, EAST HAVEN, CT 06512-3541
(203) 469-2316
Mailing address
38 TALMADGE AVE, EAST HAVEN, CT 06512-3541
(203) 469-2316
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2202007071
VA
235Z00000X
Speech-Language Pathologist
Primary
5107
CT
Other
Enumeration date
02/21/2016
Last updated
02/21/2016
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