MEDICARE: MRS. STEPHANIE MICHELE EKIS CCC-SLP

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	SL005444L	PA

General Provider Information

NPI Number	:	1043061914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. STEPHANIE MICHELE EKIS CCC-SLP

Provider Business Mailing Address
First Line	:	236 ALLISON AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15202-1406
Country	:	US
Telephone Number	:	412-999-5728
Fax Number	:

Provider Business Practice Location Address
First Line	:	236 ALLISON AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15202-1406
Country	:	US
Telephone Number	:	412-999-5728
Fax Number	:

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

Provider Enumeration Date	:	03/28/2024
Last Update Date	:	03/28/2024

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Directions to “ MRS. STEPHANIE MICHELE EKIS CCC-SLP” Practice Location

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