STEFANIE M. ELLEDGE (NPI# 1861863268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861863268 |
| Entity Type | Individual |
| Full Name | STEFANIE M. ELLEDGE |
| Practice Address |
555 Bridgeport Ave Shelton CT 06484-4749 |
| Mailing Address |
1931 Black Rock Tpke Attn: Credentialing Fairfield CT 06825-3506 |
| Practice Telephone | 2039221773 |
| Practice Fax Number | 2039242334 |
| Mailing Telephone | 2033324363 |
| Mailing Fax Number | 2033306761 |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2017-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 004988 | CT | Speech, Language and Hearing Service Providers |
| Street Address |
555 BRIDGEPORT AVE |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-4749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811938533 | Bardia Asgari | Internal Medicine | 555 Bridgeport Ave, Shelton, CT 06484-4749 | 2006-06-10 |
| 1487139812 | Austin Chaves | Physical Therapist | 555 Bridgeport Ave, Shelton, CT 06484-4731 | 2018-10-02 |
| 1285147405 | Julianne Giordano | Physical Therapist | 555 Bridgeport Ave, Shelton, CT 06484-4749 | 2017-11-09 |
| 1770024143 | Gabriela Depa | Speech-Language Pathologist | 555 Bridgeport Ave, Shelton, CT 06484-4749 | 2017-03-17 |
| 1750742144 | The Healing Practice, LLC | Family Medicine | 555 Bridgeport Ave, Shelton, CT 06484-4749 | 2016-03-11 |
| 1528455623 | Thehealingpractice LLC | Clinic/Center | 555 Bridgeport Ave, Shelton, CT 06484-4749 | 2015-04-16 |
| 1851789127 | Caroline S Monroe | Occupational Therapist | 555 Bridgeport Ave, Shelton, CT 06484-4749 | 2015-01-08 |
| 1740684075 | Kara Doherty | Speech-Language Pathologist | 555 Bridgeport Ave, Shelton, CT 06484-4749 | 2014-10-15 |
| 1346502895 | Jennifer Holdorf Naturopathic, LLC | Naturopath | 555 Bridgeport Ave, Shelton, CT 06484-4749 | 2012-06-11 |
| 1659504462 | Craig Emil Ullrich | Physical Therapist | 555 Bridgeport Ave, Shelton, CT 06484-4749 | 2009-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
| 1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
| 1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
| Find all providers in zip 06484 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1881168854 | Natasha Deabreu Sousa | Speech-Language Pathologist | 18 Center St Ste 104, Shelton, CT 06484-3104 | 2019-01-14 |
| 1689154379 | Alexis M Byer-alcorace | Speech-Language Pathologist | 695 Bridgeport Ave, Shelton, CT 06484-4704 | 2018-08-21 |
| 1770022048 | Leo Dunham | Speech-Language Pathologist | 19 Lane St, Shelton, CT 06484-5224 | 2017-02-19 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1467691931 | Jennifer Carol Russell | Speech-Language Pathologist | 121 Bay Ridge Ct, Shelton, WA 98584-3608 | 2009-02-06 |
| 1922121862 | Rachel I Criscuolo | Speech-Language Pathologist | 100 Beard Sawmill Rd Ste 282, Shelton, CT 06484 | 2007-04-07 |
| 1821695297 | Alyssa Staples | Speech-Language Pathologist | 112 E Spencer Lake Rd, Shelton, WA 98584-7307 | 2020-10-07 |
| 1376169219 | Sandra Crompton | Speech-Language Pathologist | 153 Johns Ct, Shelton, WA 98584-8225 | 2020-06-16 |
| 1962969378 | Megan Taylor | Speech-Language Pathologist | 45 Maltby St, Shelton, CT 06484-3328 | 2019-02-22 |
| Find all providers in SHELTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.