Heath, Stacy

Heath, Stacy is an sole proprietor health care provider with primary practice located at 602 Vonderburg Dr. Suite 201, Brandon FL 33511. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Heath, Stacy can be contacted via phone (813) 653-1149.

Contact Information

Primary practice address
602 Vonderburg Dr. Suite 201 Brandon FL 33511
Phone: (813) 653-1149
Fax: (813) 654-6644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA6817 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1003952201
LBN Legal business name Heath, Stacy
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Sep 12th, 2011 - 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 1003952201 NPPES
Florida MEDICAID 892026500
Florida MEDICAID 812039100

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