MEDICARE: SPEECH WITH STEPHANIE

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

General Provider Information

NPI Number	:	1447868724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPEECH WITH STEPHANIE

Provider Business Mailing Address
First Line	:	883 ROLLINGWOOD DR
Second Line	:
City	:	VILLA HILLS
State	:	KY
Zip	:	41017-4003
Country	:	US
Telephone Number	:	859-512-5204
Fax Number	:

Provider Business Practice Location Address
First Line	:	883 ROLLINGWOOD DR
Second Line	:
City	:	VILLA HILLS
State	:	KY
Zip	:	41017-4003
Country	:	US
Telephone Number	:	859-512-5204
Fax Number	:

Authorized Official
Title or Position	:	SPEECH LANGUAGE PATHOLOGIST
Name	:	STEPHANIE SILBER
Credential	:	MA, CCC-SLP
Telephone Number	:	859-512-5204

Provider Enumeration Date	:	07/22/2020
Last Update Date	:	07/22/2020

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Directions to “SPEECH WITH STEPHANIE ” Practice Location

Language	Start Address	Practice Location

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