Porter, Stacie Ann
Porter, Stacie Ann is an sole proprietor health care provider with primary practice located at 7969 Ashton Ave , Manassas VA 20109-2885. 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. Porter, Stacie Ann can be contacted via phone (703) 792-7800.Contact Information
Primary practice address
7969 Ashton Ave
Manassas VA 20109-2885
Phone: (703) 792-7800
Fax: (703) 792-5699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2202002852 | Virginia |
Profile Details
| NPI number | 1760539456 |
|---|---|
| LBN Legal business name | Porter, Stacie Ann |
| Credentials | M.S.,CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1760539456 | NPPES |
| Virginia | Other | 03390 | AMERIGROUP |
| Virginia | Other | 187839 | AMERIGROUP |
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