Ivey, Stacie

Ivey, Stacie is an sole proprietor health care provider with primary practice located at 700 Bramblebush Street , Fort Collins CO 80524-2199. 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. Ivey, Stacie can be contacted via phone (970) 214-3677.

Contact Information

Primary practice address
700 Bramblebush Street Fort Collins CO 80524-2199
Phone: (970) 214-3677
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP0001614 Colorado

Profile Details

NPI number 1801917067
LBN Legal business name Ivey, Stacie
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2007
Last updated Oct 20th, 2014 - about 12 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 1801917067 NPPES
New Mexico MEDICAID Z 1275
New Mexico MEDICAID 77809831

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