MEDICARE: MISS STEFANIE LEIGH BLACKWELL M.S. 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	SA10002	FL

General Provider Information

NPI Number	:	1043449564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS STEFANIE LEIGH BLACKWELL M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	16971 LAURELIN CT
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33917-3814
Country	:	US
Telephone Number	:	308-293-7048
Fax Number	:

Provider Business Practice Location Address
First Line	:	16971 LAURELIN CT
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33917-3814
Country	:	US
Telephone Number	:	308-293-7048
Fax Number	:

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

Provider Enumeration Date	:	07/06/2009
Last Update Date	:	06/16/2023

Similar Medicare Providers

1831197664 — CONFI-DENTAL PA
Practice Location Address:

1401 W BERRY ST
FORT WORTH, TX
76110-3814

Practice Phone: 817-921-9616
Practice Fax: 817-921-9599

1376541185 — DR. SARANYA VIYAPON DMD
Practice Location Address:

1401 W BERRY ST
FORT WORTH, TX
76110-3814

Practice Phone: 817-921-9616
Practice Fax: 817-921-9599

1942319629 — MEDIC PHARMACY INC
Practice Location Address:

5150 N FEDERAL HWY
FORT LAUDERDALE, FL
33308-3814

Practice Phone: 954-484-4200
Practice Fax: 954-484-8678

1285752782 — VOCA OF INDIANA LLC
Practice Location Address:

3814 WALDEN RUN
FORT WAYNE, IN
46815-5260

Practice Phone: 812-273-0523
Practice Fax:

1700296019 — DR. FARHANAZ AHMED PHARM D.
Practice Location Address:

5150 N FEDERAL HWY
FORT LAUDERDALE, FL
33308-3814

Practice Phone: 954-484-4200
Practice Fax:

1063871945 — PAPY MCGUIRE ASSISTED LIVING HOME LLC
Practice Location Address:

202 W FORT LOWELL RD
TUCSON, AZ
85705-3814

Practice Phone: 520-887-5402
Practice Fax: 520-887-0182

Directions to “ MISS STEFANIE LEIGH BLACKWELL M.S. CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.