Individual provider · Type 1 NPI

Stephanie Moulketis, MS, CCC-SLP

Speech-Language Pathologist · Staten Island, NY

NPI number 1104486620 Active

Practice location

88 Old Town Rd
Staten Island, NY 10304-4212

Call (718) 407-2911 Map

Mailing address

195 Adams St Apt 8H
Brooklyn, NY 11201-1810

Other practice locations

  • 330 Saint Marks Pl, Staten Island, NY 10301-2409 · (201) 741-6960

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X027806 (NY)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1104486620

Stephanie Moulketis, MS, CCC-SLP's National Provider Identifier is 1104486620, issued on Jun 17, 2019. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Staten Island, NY. The record was last updated on Jun 17, 2019.