Provider Demographics
NPI:1023285004
Name:BECHTEL, STEFANIE LEA (MS,CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:STEFANIE
Middle Name:LEA
Last Name:BECHTEL
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:MISS
Other - First Name:STEFANIE
Other - Middle Name:LEA
Other - Last Name:SPIKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:707 HESTON CT
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-7019
Mailing Address - Country:US
Mailing Address - Phone:410-598-8621
Mailing Address - Fax:
Practice Address - Street 1:2225 OLD EMMORTON RD
Practice Address - Street 2:SUITE 210
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-6129
Practice Address - Country:US
Practice Address - Phone:410-515-4900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-09
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05688235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD419800000Medicaid