Healthcare Provider Details

I. General information

NPI: 1275358038
Provider Name (Legal Business Name): STEPHANIE NICOLE TODOROFF MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2024
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1755 OREGON PIKE STE 200
LANCASTER PA
17601-4272
US

IV. Provider business mailing address

1755 OREGON PIKE STE 200
LANCASTER PA
17601-4272
US

V. Phone/Fax

Practice location:
  • Phone: 717-581-5255
  • Fax: 717-581-5259
Mailing address:
  • Phone: 717-581-5255
  • Fax: 717-581-5259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPC002336
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: