Fonner, Stacy Renee
Fonner, Stacy Renee is an individual health care provider with primary practice located at 310 Cannan Rd , Canyon Lake TX 78133-4552. 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. Fonner, Stacy Renee can be contacted via phone (830) 885-9516.Contact Information
Primary practice address
310 Cannan Rd
Canyon Lake TX 78133-4552
Phone: (830) 885-9516
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 117945 | Texas |
Profile Details
| NPI number | 1750022182 |
|---|---|
| LBN Legal business name | Fonner, Stacy Renee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2022 |
| Last updated | Apr 7th, 2022 - about 3 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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