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NPI Code Detail

MEDICARE: STEPHANIE SNAPP-SOVIK B.S. DEGREE

MEDICARE: STEPHANIE SNAPP-SOVIK B.S. DEGREE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235500000XSpeech/Language/Hearing Specialist/Technologist
22355S0801XSpeech-Language Assistant

General Provider Information

NPI Number : 1013314343
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE SNAPP-SOVIK B.S. DEGREE
Provider Business Mailing Address
First Line : 16648 DEER CHASE LOOP
Second Line :
City : ORLANDO
State : FL
Zip : 32828-6934
Country : US
Telephone Number : 407-223-2757
Fax Number :
Provider Business Practice Location Address
First Line : 16648 DEER CHASE LOOP
Second Line :
City : ORLANDO
State : FL
Zip : 32828-6934
Country : US
Telephone Number : 407-223-2757
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2014
Last Update Date : 12/02/2014

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