Healthcare Provider Details

I. General information

NPI: 1013314343
Provider Name (Legal Business Name): STEPHANIE SNAPP-SOVIK B.S. DEGREE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: STEPHANIE SNAPP-SOVIK

II. Dates (important events)

Enumeration Date: 12/02/2014
Last Update Date: 12/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16648 DEER CHASE LOOP
ORLANDO FL
32828-6934
US

IV. Provider business mailing address

16648 DEER CHASE LOOP
ORLANDO FL
32828-6934
US

V. Phone/Fax

Practice location:
  • Phone: 407-223-2757
  • Fax:
Mailing address:
  • Phone: 407-223-2757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235500000X
TaxonomySpeech/Language/Hearing Specialist/Technologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: