Edwards, Stacey

Edwards, Stacey is an sole proprietor health care provider with primary practice located at 232 Jackson Ave , Lansdowne PA 19050-1411. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Edwards, Stacey can be contacted via phone (609) 828-3348.

Contact Information

Primary practice address
232 Jackson Ave Lansdowne PA 19050-1411
Phone: (609) 828-3348
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-11-8617

Profile Details

NPI number 1992178784
LBN Legal business name Edwards, Stacey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2015
Last updated Nov 3rd, 2015 - about 10 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 1992178784 NPPES
Pennsylvania Other BH001514 PENNSYLVANIA DEPT OF STATE BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
Pennsylvania Other 1-11-8617 PENNSYLVANIA DEPT OF STATE BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS

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