MEDICARE: STEPHANIE J SILBER M.A. 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	3891	KY
2	235Z00000X	Speech-Language Pathologist	12106090

General Provider Information

NPI Number	:	1841467016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE J SILBER M.A. CCC-SLP

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	:	859-512-5204

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2008
Last Update Date	:	11/27/2023

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Directions to “ STEPHANIE J SILBER M.A. CCC-SLP” Practice Location

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