Stovall, Gina
Stovall, Gina is an individual health care provider with primary practice located at 400 Heritage Ave , Castle Rock CO 80104-8726. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Behavioral Health & Social Service Providers / Behavioral Analyst. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Stovall, Gina can be contacted via phone (303) 387-5150.Contact Information
Primary practice address
400 Heritage Ave
Castle Rock CO 80104-8726
Phone: (303) 387-5150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | PSLP.0000785 | Colorado |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1107 | Texas |
Profile Details
| NPI number | 1801366406 |
|---|---|
| LBN Legal business name | Stovall, Gina |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2018 |
| Last updated | Oct 10th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801366406 | NPPES |
| Other | 18-69273 | BEHAVIOR ANALYST CERTIFICATION BOARD (BACB) |
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