Individual
STEPHANIE MICHELLE PANDULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 CORONADO CENTER DR, HENDERSON, NV 89052-5034
(702) 564-4116
(702) 932-2403
Mailing address
2380 BROCKTON WAY, HENDERSON, NV 89074-5459
(702) 860-5617
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-903
NV
Other
Enumeration date
05/14/2007
Last updated
10/01/2014
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