Individual
STEPHANIE MARIE PANTERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
180 L ST APT 3, BOSTON, MA 02127-7832
(203) 640-5480
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
77553-SP-SL
MA
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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