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

STEPHANIE JACK, MS CCC-SLP/L

Active Sole Proprietor

STEPHANIE JACK, MS CCC-SLP/L is a Speech, Language and Hearing Specialist healthcare provider located in CRANBERRY TWP, Pennsylvania. NPI 1609419233 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · CRANBERRY TWP, PA

Registration Details

NPI Number
1609419233
Provider Type
Individual
Gender
Female
NPI Issued
Oct 27, 2019 (6.6149293199785 yrs)
Last Updated
Oct 27, 2019
License
SL012084 (PA)
Sole Proprietor
Yes

Practice Information

Address
20397 ROUTE 19 STE 30
CRANBERRY TWP, PA, 160666102
Browse PA providers · Browse ZIP 16066
Phone
8558877332
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in CRANBERRY TWP, PA

Name Credential NPI
MS. GRETCHEN ROXANNE WEIMER MSLP 1336160043
KRISTIE H MEIERS M.S, CCC-SLP 1043489172
LINDA L. DUFF 1659517738
CHELSEA RAE DEREMER 1629365606
ARIANNE SUE BURNWORTH 1992084834
MARISSA VETICA 1104185917
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.