Benvin, Stacy

Benvin, Stacy is an individual health care provider with primary practice located at 12635 S 35Th Pl , Phoenix AZ 85044-3519. 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. Benvin, Stacy can be contacted via phone (480) 219-8719.

Contact Information

Primary practice address
12635 S 35Th Pl Phoenix AZ 85044-3519
Phone: (480) 219-8719
Fax: (480) 219-8719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP0400 Arizona

Profile Details

NPI number 1275660524
LBN Legal business name Benvin, Stacy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Apr 6th, 2012 - about 14 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 1275660524 NPPES
Arizona Other AZ0140920 BLUE CROSS BLUE SHIELD
Arizona MEDICAID 345018 BLUE CROSS BLUE SHIELD

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