Davidson Gall, Stacey J
Davidson Gall, Stacey J is an individual health care provider with primary practice located at 510 E North Broadway St , Columbus OH 43214-4114. 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. Davidson Gall, Stacey J can be contacted via phone (614) 263-5151.Contact Information
Primary practice address
510 E North Broadway St
Columbus OH 43214-4114
Phone: (614) 263-5151
Fax: (614) 265-3273
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP-4239 | Ohio |
Profile Details
| NPI number | 1558408856 |
|---|---|
| LBN Legal business name | Davidson Gall, Stacey J |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1558408856 | NPPES |
| Ohio | MEDICAID | 0094740 |
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