Healthcare Provider Details

I. General information

NPI: 1396039228
Provider Name (Legal Business Name): MISS SABRINA LEIKIND STEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2011
Last Update Date: 12/03/2023
Certification Date: 12/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 BEAVER LN
EASTON PA
18045-1917
US

IV. Provider business mailing address

18 BEAVER LN
EASTON PA
18045-1917
US

V. Phone/Fax

Practice location:
  • Phone: 973-634-6705
  • Fax:
Mailing address:
  • Phone: 973-634-6705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSL017374
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: