Provider Demographics
NPI:1144493628
Name:SCHILLING, STEPHEN (MS,CCC-A)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:
Last Name:SCHILLING
Suffix:
Gender:M
Credentials:MS,CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1029 POWERS RD
Mailing Address - Street 2:
Mailing Address - City:CONKLIN
Mailing Address - State:NY
Mailing Address - Zip Code:13748-1317
Mailing Address - Country:US
Mailing Address - Phone:607-238-0335
Mailing Address - Fax:
Practice Address - Street 1:1029 POWERS RD
Practice Address - Street 2:
Practice Address - City:CONKLIN
Practice Address - State:NY
Practice Address - Zip Code:13748-1317
Practice Address - Country:US
Practice Address - Phone:607-238-0335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-07
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001995231H00000X
PAAT006013231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist