Istre, Staci Marie
Istre, Staci Marie is an sole proprietor health care provider with primary practice located at 13885 Woodway Dr , Woodway TX 76712-7621. 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. Istre, Staci Marie can be contacted via phone (254) 761-5780.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 106190 | Texas |
Profile Details
| NPI number | 1669743886 |
|---|---|
| LBN Legal business name | Istre, Staci Marie |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2012 |
| Last updated | Oct 13th, 2022 - about 3 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 | 1669743886 | NPPES |
| Texas | Other | 106190 | STATE BOARD OF EXAMINERS FOR SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY |
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