Staley, Lisa Sherice

Staley, Lisa Sherice is an sole proprietor health care provider with primary practice located at 408 E B Saunders Way , Clarksburg WV 26301-3712. 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. Staley, Lisa Sherice can be contacted via phone (304) 624-6554.

Contact Information

Primary practice address
408 E B Saunders Way Clarksburg WV 26301-3712
Phone: (304) 624-6554
Fax: (304) 624-5223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X West Virginia

Profile Details

NPI number 1285803965
LBN Legal business name Staley, Lisa Sherice
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2008
Last updated Feb 26th, 2008 - about 17 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 1285803965 NPPES
West Virginia MEDICAID 0155227000

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