Sanders, Stacy L

Sanders, Stacy L is an individual health care provider with primary practice located at 5740 Getwell Rd. Building 3 Unit B , Southaven MS 38672. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Sanders, Stacy L can be contacted via phone (662) 510-2138.

Contact Information

Primary practice address
5740 Getwell Rd. Building 3 Unit B Southaven MS 38672
Phone: (662) 510-2138
Fax: (662) 510-2962
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A3297 Mississippi
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A0000001385 Tennessee

Profile Details

NPI number 1659516524
LBN Legal business name Sanders, Stacy L
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2008
Last updated Jul 21st, 2022 - about 4 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 1659516524 NPPES
Mississippi MEDICAID 07038576

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