Davis, Stacey L

Davis, Stacey L is an individual health care provider with primary practice located at 1108 W Willow St , Carbondale IL 62901-1138. 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 L can be contacted via phone (618) 549-4442.

Contact Information

Primary practice address
1108 W Willow St Carbondale IL 62901-1138
Phone: (618) 549-4442
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1801924196
LBN Legal business name Davis, Stacey L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 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.

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