MEDICARE: STEPHANIE PAWLOWICZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1184305237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE PAWLOWICZ

Provider Business Mailing Address
First Line	:	8 AUTUMN DR
Second Line	:
City	:	ENFIELD
State	:	CT
Zip	:	06082-6235
Country	:	US
Telephone Number	:	413-244-9274
Fax Number	:

Provider Business Practice Location Address
First Line	:	171 DWIGHT RD STE 300
Second Line	:
City	:	LONGMEADOW
State	:	MA
Zip	:	01106-1768
Country	:	US
Telephone Number	:	413-313-5461
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2023
Last Update Date	:	07/31/2023

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Directions to “ STEPHANIE PAWLOWICZ ” Practice Location

Language	Start Address	Practice Location

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