Grave De Peralta, Stephanie Michelle

Grave De Peralta, Stephanie Michelle is an sole proprietor health care provider with primary practice located at 428 Goldenwood Way , Wellington FL 33414-4970. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Grave De Peralta, Stephanie Michelle can be contacted via phone (561) 795-5779.

Contact Information

Primary practice address
428 Goldenwood Way Wellington FL 33414-4970
Phone: (561) 795-5779
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA 8041 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1164709655
LBN Legal business name Grave De Peralta, Stephanie Michelle
Credentials MA CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2011
Last updated Apr 10th, 2012 - about 13 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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