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:
Health care specialties
| Specialty | Code | License # | 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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