Staci D Irby

NPI 1487807376 - Developmental Therapist - 222Q00000X

NPI Details
NPI 1487807376
Gender Female
Enumeration Date 10/23/2008
Last Updated 10/23/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3450 W 34TH AVE
PINE BLUFF AR, 71603-5508, US
Phone (870) 534-6067
Fax (870) 534-7297
Business Location
800 MARSHALL ST
SLOT 900
LITTLE ROCK AR, 72202-3510, US
Phone (501) 364-3620
Fax (501) 364-3994
Toxanomy
Taxonomy Code 222Q00000X
License State
License Number
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According to our database, Staci D Irby NPI is 1487807376, taxonomy code is 222Q00000X Staci D Irby physically located at 3450 W 34th Ave, Pine Bluff AR, 71603-5508. NPI Number Staci D Irby has the Individual type.

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1487807376 NPI number is provided on an as is basis without warranty of any kind. 1487807376 is maintained by the National Plan & Provider Enumeration System. The contents of Staci D Irby are for informational purposes only.