Dover, Staci

Dover, Staci is an individual health care provider with primary practice located at 1322 E Le Marche Ave , Phoenix AZ 85022-3245. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Assistant, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Dover, Staci can be contacted via phone (602) 283-4121.

Contact Information

Primary practice address
1322 E Le Marche Ave Phoenix AZ 85022-3245
Phone: (602) 283-4121
Fax: (602) 283-4184
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X SLPA8760 Arizona
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP8760 Arizona

Profile Details

NPI number 1902274772
LBN Legal business name Dover, Staci
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2015
Last updated Jun 25th, 2024 - about last year

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 1902274772 NPPES
Arizona Other SLP8760 ARIZONA DEPARTMENT OF HEALTH SERVICES

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