Mrs Stacy M Soda, MS, CCC-SLP is a
Speech-language Pathologist based in Marathon, New York. Mrs Stacy M Soda is licensed to practice in New York (license number 019301) and her current practice location is
24 Albro Road, Marathon, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 849-4702.
NPI number for Mrs Stacy M Soda is 1417268228 and her current mailing address is Po Box 339, Marathon, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417268228.
Healthcare Provider's Profile
Full Name | Mrs Stacy M Soda |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 24 Albro Road, Marathon, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417268228
- Provider Enumeration Date: 06/25/2010
- Last Update Date: 05/09/2024
Medical Identifiers
Medical identifiers for Mrs Stacy M Soda such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417268228 | NPI | - | NPPES |
019301 | Other | NY | LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 019301 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Stacy M Soda is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Stacy M Soda, MS, CCC-SLP Po Box 339, Marathon, NY 13803-0339 Ph: (607) 849-3235 | Mrs Stacy M Soda, MS, CCC-SLP 24 Albro Road, Marathon, NY 13803-0339 Ph: (607) 849-4702 |
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