Healthcare Provider Details

I. General information

NPI: 1447195532
Provider Name (Legal Business Name): STEPHANIE LANEY PRICE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4410 ZACK RD
MONROE NC
28110-8223
US

IV. Provider business mailing address

4410 ZACK RD
MONROE NC
28110-8223
US

V. Phone/Fax

Practice location:
  • Phone: 704-221-9178
  • Fax:
Mailing address:
  • Phone: 704-221-9178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number5566
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: