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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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 1609913284 NPPES
Florida MEDICAID 891528800

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