Long, Stephanie Roberts

Long, Stephanie Roberts is an individual health care provider with primary practice located at W3124 Van Roy Rd , Appleton WI 54915-3982. She recently has 3 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Assistive Technology Practitioner, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Long, Stephanie Roberts can be contacted via phone (920) 915-9077.

Contact Information

Primary practice address
W3124 Van Roy Rd Appleton WI 54915-3982
Phone: (920) 915-9077
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 232-156 Wisconsin
Speech, Language and Hearing Service Providers / Assistive Technology Practitioner 231HA2400X 232-156 Wisconsin
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 232-156 Wisconsin

Profile Details

NPI number 1336314814
LBN Legal business name Long, Stephanie Roberts
Credentials AUD DOCTOR AUDILOGY
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2008
Last updated May 11th, 2010 - about 14 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 1336314814 NPPES
Wisconsin MEDICAID 41128700

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