Suneson, Staci

Suneson, Staci is an individual health care provider with primary practice located at 108 22Nd Ave Sw Suite 14, Olympia WA 98501-2871. 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. Suneson, Staci can be contacted via phone (360) 943-1180.

Contact Information

Primary practice address
108 22Nd Ave Sw Suite 14 Olympia WA 98501-2871
Fax: (360) 943-3494
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X DOH-LL00002897 Washington

Profile Details

NPI number 1396764957
LBN Legal business name Suneson, Staci
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 8th, 2015 - about 10 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 1396764957 NPPES
Other 1899SC BL CROSS BL SHIELD

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