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NPI Code Detail

MEDICARE: MRS. JENNIFER M STAHLI

MEDICARE:  MRS. JENNIFER M STAHLI
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1235807785
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER M STAHLI
Provider Business Mailing Address
First Line : 1429 ROUTE 9W
Second Line :
City : MARLBORO
State : NY
Zip : 12542-5417
Country : US
Telephone Number : 845-728-9804
Fax Number :
Provider Business Practice Location Address
First Line : 228 WARD ST
Second Line :
City : MONTGOMERY
State : NY
Zip : 12549-1270
Country : US
Telephone Number : 845-293-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2021
Last Update Date : 08/31/2021

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Directions to “ MRS. JENNIFER M STAHLI ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.