Provider Demographics
NPI:1144043704
Name:STEPPING STONES SPEECH THERAPY PLLC
Entity type:Organization
Organization Name:STEPPING STONES SPEECH THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER - SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KIERSTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARJORIBANKS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP TSSLD
Authorized Official - Phone:631-416-6801
Mailing Address - Street 1:211 SACANDAGA RD APT 4103
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12302-1279
Mailing Address - Country:US
Mailing Address - Phone:631-416-6801
Mailing Address - Fax:
Practice Address - Street 1:211 SACANDAGA RD APT 4103
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12302-1279
Practice Address - Country:US
Practice Address - Phone:631-416-6801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech