Paul, Stacy
Paul, Stacy is an sole proprietor health care provider with primary practice located at 701 Genevieve Dr , Mechanicsburg PA 17055-9543. 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. Paul, Stacy can be contacted via phone (717) 979-2812.Contact Information
Primary practice address
701 Genevieve Dr
Mechanicsburg PA 17055-9543
Phone: (717) 979-2812
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SL007090 | Pennsylvania |
Profile Details
| NPI number | 1700074325 |
|---|---|
| LBN Legal business name | Paul, Stacy |
| Credentials | CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 9th, 2007 |
| Last updated | Apr 12th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700074325 | NPPES |
| Pennsylvania | Other | 0019311720004 | DEPT OF PUBLIC WELFARE |
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