Brewer, Staci B

Brewer, Staci B is an sole proprietor health care provider with primary practice located at 1000 Emmett St Ste 102 , Kissimmee FL 34741-3605. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Brewer, Staci B can be contacted via phone (407) 913-1010.

Contact Information

Primary practice address
1000 Emmett St Ste 102 Kissimmee FL 34741-3605
Phone: (407) 913-1010
Fax: (407) 992-8697
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA9608 Florida

Profile Details

NPI number 1821283763
LBN Legal business name Brewer, Staci B
Credentials MA, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2007
Last updated Oct 12th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821283763 NPPES
Florida Other SA9608 STATE LICENSE

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