Individual
STACEY STELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 GRAND AVE, ENGLEWOOD, NJ 07631-4356
(201) 568-0900
Mailing address
392 E 10TH ST APT 5W, NEW YORK, NY 10009-9201
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TL-1795
NJ
Other
Enumeration date
03/07/2010
Last updated
03/07/2010
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