Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephanie Janessa Moran, MACCC-SLPTSSLD/BE

Individual provider Speech-Language Pathologist · NPI 1003311697

Stephanie Janessa Moran, MACCC-SLPTSSLD/BE is a Speech-Language Pathologist in Islip, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

59 Elliot St
Islip, NY 11751-2035
Phone: (631) 521-6406
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence NA (NY)

Record details

NPI number1003311697
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLPTSSLD/BE
Sole proprietorYes
NPI enumeratedMarch 27, 2018
Last updated in NPPESOctober 4, 2023
Certification dateOctober 4, 2023

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