Provider Demographics
NPI:1043620032
Name:KOSKI, STEPHANIE MARIE (AUD)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:MARIE
Last Name:KOSKI
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:STEPHANIE
Other - Middle Name:MARIE
Other - Last Name:BAJ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:3686 GRANDVIEW PARKWAY
Mailing Address - Street 2:SUITE 530
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243
Mailing Address - Country:US
Mailing Address - Phone:205-591-8260
Mailing Address - Fax:205-595-0843
Practice Address - Street 1:3686 GRANDVIEW PARKWAY
Practice Address - Street 2:SUITE 530
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243
Practice Address - Country:US
Practice Address - Phone:205-591-8260
Practice Address - Fax:205-595-0843
Is Sole Proprietor?:No
Enumeration Date:2014-04-30
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
231H00000X
AL1146A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist