Killeen, Stacey Lynn

Killeen, Stacey Lynn is an sole proprietor health care provider with primary practice located at 219 Primrose Dr , Dyer IN 46311-4632. 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. Killeen, Stacey Lynn can be contacted via phone (219) 742-1400.

Contact Information

Primary practice address
219 Primrose Dr Dyer IN 46311-4632
Phone: (219) 742-1400
Fax: (219) 809-2674
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146.006920 Illinois
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 22005278A Indiana

Profile Details

NPI number 1841360690
LBN Legal business name Killeen, Stacey Lynn
Credentials M.A, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2006
Last updated Oct 2nd, 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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