MEDICARE: ALLISON STENDER

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
1	235Z00000X	Speech-Language Pathologist	SL011888	PA

General Provider Information

NPI Number	:	1033520739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON STENDER

Provider Business Mailing Address
First Line	:	306 CHERRY ST
Second Line	:	UNIT 3
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106-1863
Country	:	US
Telephone Number	:	717-682-4722
Fax Number	:

Provider Business Practice Location Address
First Line	:	6952 GERMANTOWN AVE
Second Line	:	1ST FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19119-2114
Country	:	US
Telephone Number	:	215-713-3870
Fax Number	:	215-713-3876

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2014
Last Update Date	:	05/15/2014

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Directions to “ ALLISON STENDER ” Practice Location

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