Basic Information
| Provider Information | |||||||||
| NPI: | 1669759601 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | STEPPING STONES LEARNING CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 41 COLEBROOK DR | ||||||||
| Address2: | |||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146172211 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5854674567 | ||||||||
| FaxNumber: | 5854676973 | ||||||||
| Practice Location | |||||||||
| Address1: | 41 COLEBROOK DR | ||||||||
| Address2: | |||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146172211 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5854674567 | ||||||||
| FaxNumber: | 5854676973 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/04/2011 | ||||||||
| LastUpdateDate: | 11/04/2011 | ||||||||
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| AuthorizedOfficialLastName: | CUPINI | ||||||||
| AuthorizedOfficialFirstName: | MARIELLEN | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO/PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 5854674567 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | PH.D., SDA, SLP | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 252Y00000X | 001834-1 | NY | Y | Agencies | Early Intervention Provider Agency |
No ID Information.