Stacy Broadhurst in Morgantown - Speech-language Pathologist

Stacy Broadhurst - NPI 1871663013

Stacy Broadhurst is a Speech-language Pathologist in Morgantown, . Stacy Broadhurst practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Stacy Broadhurst is 1871663013. The last update date is 2007-07-08.

Stacy Broadhurst's current location address is 1 Medical Center Drive, Morgantown, . You can contact this provider via phone number 3045984118. The mailing address for Stacy Broadhurst is 1 Medical Center Drive, Morgantown, . To know further, please read the information below!

Provider Profile Detail

Provider Name Stacy Broadhurst
Address 1 Medical Center Drive, Morgantown,
Phone Number 3045984118
Fax Number
Sole Proprietor N
Credentials SLP

NPI Number Detail

NPI Number 1871663013
Provider Enumeration Date 2006-11-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1 Medical Center Drive
City Morgantown
State (WV)
Post Code 26506
Phone Number 3045984118
Fax Number

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 707
Definition:
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9400160000 WV --

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FAQs about Stacy Broadhurst

What is the unique 10-digit identification code assigned to Stacy Broadhurst by the Centers for Medicare & Medicaid Services?

The Stacy Broadhurst has been issued the NPI (National Provider Identifier) 1871663013, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Stacy Broadhurst is physically located?

The Stacy Broadhurst is physically situated at the following address: 1 Medical Center Drive, Morgantown, WV, 26506.

What is Stacy Broadhurst's specialized field of practice, and what is the corresponding taxonomy classification code?

The Stacy Broadhurst's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.

When did the Stacy Broadhurst receive its 1871663013?

The Stacy Broadhurst was issued its 1871663013 on 2006-11-08, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Stacy Broadhurst, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Stacy Broadhurst, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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