Demoss, Stacia Dawn

Demoss, Stacia Dawn is an individual health care provider with primary practice located at 1425 Earl L Core Rd , Morgantown WV 26505-5885. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Demoss, Stacia Dawn can be contacted via phone (304) 413-0184.

Contact Information

Primary practice address
1425 Earl L Core Rd Morgantown WV 26505-5885
Phone: (304) 413-0184
Fax: (304) 413-0185
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A-0288 West Virginia

Profile Details

NPI number 1457697880
LBN Legal business name Demoss, Stacia Dawn
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2012
Last updated Jun 11th, 2013 - about 13 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 1457697880 NPPES
Other 12140181 ASHA CERTIFICATE OF CLINICAL COMPETENCE
Other A-0288 ASHA CERTIFICATE OF CLINICAL COMPETENCE

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