Provider Demographics
NPI:1144844853
Name:STUART, DEVON G (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:DEVON
Middle Name:G
Last Name:STUART
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-4635
Mailing Address - Country:US
Mailing Address - Phone:845-326-1850
Mailing Address - Fax:
Practice Address - Street 1:50 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-4635
Practice Address - Country:US
Practice Address - Phone:845-326-1850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-29
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist