Stephen T Bresnock Jr., SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202002495 Issued in VA

Practice address

2179 Brown LN
Amissville, VA 20106-2009

Phone

(540) 937-7386

NPI assigned

Jul 28, 2008

Last updated

Feb 1, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1659536886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 HASTINGS LN",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862110",
            "telephone_number": "540-347-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2179 BROWN LN",
            "city": "AMISSVILLE",
            "state": "VA",
            "postal_code": "201062009",
            "telephone_number": "540-937-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESNOCK",
        "first_name": "STEPHEN",
        "middle_name": "T",
        "name_suffix": "Jr.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-28",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202002495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Amissville, VA
• Providers in Amissville, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.