Hart, Stacy
Hart, Stacy is an sole proprietor health care provider with primary practice located at 1301 Russell Rd , Russellville AR 72802-4320. 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. Hart, Stacy can be contacted via phone (479) 967-2316.Contact Information
Primary practice address
1301 Russell Rd
Russellville AR 72802-4320
Phone: (479) 967-2316
Fax: (479) 967-3639
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP#2246 | Arkansas |
Profile Details
| NPI number | 1013276302 |
|---|---|
| LBN Legal business name | Hart, Stacy |
| Credentials | M.S. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2012 |
| Last updated | Jan 10th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013276302 | NPPES |
| Arkansas | MEDICAID | 214361721 |
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