Basic Information
| Provider Information | |||||||||
| NPI: | 1760963359 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PINDAR | ||||||||
| FirstName: | STEPHANIE | ||||||||
| MiddleName: | AYNE | ||||||||
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| Credential: | M.A., CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 51 W SCHAUMBURG RD | ||||||||
| Address2: | |||||||||
| City: | SCHAUMBURG | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601943506 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8476071113 | ||||||||
| FaxNumber: | 7792163069 | ||||||||
| Practice Location | |||||||||
| Address1: | 51 W SCHAUMBURG RD | ||||||||
| Address2: | |||||||||
| City: | SCHAUMBURG | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601943506 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8476071113 | ||||||||
| FaxNumber: | 7792163069 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/22/2018 | ||||||||
| LastUpdateDate: | 11/24/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/11/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 146.015984 | IL | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | 235Z00000X | 7101005648 | MI | N | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.