Cunningham, Staci
Cunningham, Staci is an individual health care provider with primary practice located at 388 High Tide Dr , St Augustine FL 32080-2309. 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. Cunningham, Staci can be contacted via phone (904) 599-8092.Contact Information
Primary practice address
388 High Tide Dr
St Augustine FL 32080-2309
Phone: (904) 599-8092
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA8608 | Florida |
Profile Details
| NPI number | 1609913284 |
|---|---|
| LBN Legal business name | Cunningham, Staci |
| Credentials | M.A. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Apr 6th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609913284 | NPPES |
| Florida | MEDICAID | 891528800 |
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