Gardner, Stephanie

Gardner, Stephanie is an individual health care provider with primary practice located at 901 Macarthur Blvd , Munster IN 46321-2901. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gardner, Stephanie can be contacted via phone (219) 703-1431.

Contact Information

Primary practice address
901 Macarthur Blvd Munster IN 46321-2901
Phone: (219) 703-1431
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 22006405A Indiana

Profile Details

NPI number 1730704008
LBN Legal business name Gardner, Stephanie
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2020
Last updated Jul 1st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730704008 NPPES
Indiana MEDICAID 300039618

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