Stephanie Karidas Vilardebo, PH.D., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Dover, FL
NPI 1730456542 · NPPES record last updated May 31, 2017
Key facts
- NPI
- 1730456542
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SZ5519 (FL)
- Practice address
- 13332 Jaudon Ranch Rd
Dover, FL 33527-5321 - Phone
- (813) 323-1202
- NPI assigned
- Nov 22, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SZ5519 | FL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ5519 | FL | Yes |
Addresses
Primary practice location
13332 Jaudon Ranch Rd
Dover, FL 33527-5321
Mailing address
13332 Jaudon Ranch Rd
Dover, FL 33527-5321
Other providers in Dover, FL
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- Soumya Judson Ben
- Sandi Bernice Lamb-Wilson
- Marissa Lawson
- Living Support Services LLC
- Claudia Maria Lopez Rodriguez
- Erixis Lopez
All providers in Dover, FL · Speech-Language Pathologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2017. 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.