Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. STACEY L BLUMBERG, M.S. CCC-SLP

Active Sole Proprietor

Speech, Language and Hearing Specialist · MELVILLE, NY

Registration Details

NPI Number: 1205972122
Provider Type: Individual
Gender: Female
NPI Issued: Jan 29, 2007 (19.223931203421 yrs)
Last Updated: Jul 8, 2007
License: 010885-1 (NY)
Sole Proprietor: Yes

Practice Information

Address: 109 BREELEY BLVD

MELVILLE, NY, 117475332
Browse NY providers · Browse ZIP 11747
Phone: 5166377648
Primary Specialty: Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in MELVILLE, NY

Name	Credential	NPI
MRS. MARJORIE RUTH ELBAUM	M.S., CCC	1407901804
MRS. KERRI B TAVERA	M.S. CCC-SLP	1356496590
MRS. DEBBIE SUE FISHKIN	MA, CCC-SLP	1285772053
MRS. JOANNE LEANORE DIMAGGIO-KOCH	MA, CCC SLP	1639217268
MRS. CARLA ANN CHIAPPETTA	MS	1184762635
MS. MARIA DIPENTIMA	M.A. CCCSLP	1164560678

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.