Provider Demographics
NPI:1679701254
Name:GABRIEL, STEPHANIE ZAMOR
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:ZAMOR
Last Name:GABRIEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5099 OTTERS DEN TRL
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-8029
Mailing Address - Country:US
Mailing Address - Phone:407-330-9707
Mailing Address - Fax:
Practice Address - Street 1:2760 DORA AVE
Practice Address - Street 2:
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778
Practice Address - Country:US
Practice Address - Phone:352-742-7837
Practice Address - Fax:352-508-5113
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-23
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YS0200X
FLSI12572355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool