Healthcare Provider Details

I. General information

NPI: 1083295802
Provider Name (Legal Business Name): STEPHANIE DANIELLE SCRIBNER CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE DANIELLE MORRISON CCC-SLP

II. Dates (important events)

Enumeration Date: 04/15/2021
Last Update Date: 07/27/2022
Certification Date: 07/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 E BREMER AVE
WAVERLY IA
50677-3435
US

IV. Provider business mailing address

213 BIG JIM CT
DUNKERTON IA
50626-9767
US

V. Phone/Fax

Practice location:
  • Phone: 800-268-7192
  • Fax:
Mailing address:
  • Phone: 301-832-7177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: