Stacy Lorraine Richard
Individual provider Active NPI Speech-Language Pathologist · Frankfort, NY
NPI 1265869531 · NPPES record last updated Oct 2, 2013
Key facts
- NPI
- 1265869531
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 023212-1 (NY)
- Practice address
- 325 5TH Ave
Frankfort, NY 13340-3622 - Phone
- (315) 717-7442
- Fax
- (315) 895-0062
- NPI assigned
- Oct 2, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023212-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simply Special Early Learning Center LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 023212-1 | NY | Yes |
Addresses
Primary practice location
325 5TH Ave
Frankfort, NY 13340-3622
Mailing address
325 5TH Ave
Frankfort, NY 13340-3622
Phone (315) 717-7442
Other providers in Frankfort, NY
- Anne Marie Petriski
- Frank M Piacente
- Shelby Quinn
- Karen Reese
- Jennifer L Reid
- Rite Aid of New York Inc
- Alicia M Rocker
- Nancy Edith Rodrigo
- Russo Physical Therapy PC
- Robert Russo Jr.
All providers in Frankfort, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.