Laurence William Stacy MA CCC-SLP

NPI 1700927969 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1700927969
Gender Male
Enumeration Date 02/09/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2746 SUPERIOR DR NW
SUITE 300
ROCHESTER MN, 55901-8343, US
Phone (507) 288-0064
Fax (507) 288-3993
Business Location
203 3RD ST SE
STEWARTVILLE MN, 55976-1314, US
Phone (507) 533-4618
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Minnesota
License Number 5186
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According to our database, Mr. Laurence William Stacy MA CCC-SLP NPI is 1700927969, taxonomy code is 235Z00000X and license number is 5186, license state is located at Minnesota. Laurence William Stacy MA CCC-SLP physically located at 2746 Superior Dr Nw, Rochester MN, 55901-8343. NPI Number Laurence William Stacy MA CCC-SLP has the Individual type.

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1700927969 NPI number is provided on an as is basis without warranty of any kind. 1700927969 is maintained by the National Plan & Provider Enumeration System. The contents of Laurence William Stacy MA CCC-SLP are for informational purposes only.