Davis, Stacey Jean

Davis, Stacey Jean is an individual health care provider with primary practice located at 4730 Colby Ave , Everett WA 98203-2927. 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. Davis, Stacey Jean can be contacted via phone (425) 385-5259.

Contact Information

Primary practice address
4730 Colby Ave Everett WA 98203-2927
Phone: (425) 385-5259
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1881930063
LBN Legal business name Davis, Stacey Jean
Credentials MS/CCC/SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2012
Last updated Dec 17th, 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 1881930063 NPPES
Washington Other 12044447 ASHA CCC SLP

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