Stacie Ann Porter in Manassas - Speech-language Pathologist
Stacie Ann Porter - NPI 1760539456
Stacie Ann Porter is a Speech-language Pathologist in Manassas, Virginia. Stacie Ann Porter practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Stacie Ann Porter is 1760539456. The last update date is 2007-07-08.
Stacie Ann Porter's current location address is 7969 Ashton Ave, Manassas, Virginia. You can contact this provider via phone number 7037927800 and fax number 7037925699. The mailing address for Stacie Ann Porter is 7969 Ashton Ave, Manassas, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacie Ann Porter |
|---|---|
| Address | 7969 Ashton Ave, Manassas, Virginia |
| Phone Number | 7037927800 |
| Fax Number | 7037925699 |
| Sole Proprietor | Y |
| Credentials | M.S.,CCC-S |
NPI Number Detail
| NPI Number | 1760539456 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7969 Ashton Ave |
|---|---|
| City | Manassas |
| State | Virginia (VA) |
| Post Code | 201092885 |
| Phone Number | 7037927800 |
| Fax Number | 7037925699 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 2202002852 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3390 | VA | AMERIGROUP | |
| 187839 | VA | BLUE CROSS BLUE SHIELD |
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What is the unique 10-digit identifier code issued to Stacie Ann Porter by the Centers for Medicare & Medicaid Services?
The Stacie Ann Porter has been assigned the NPI (National Provider Identifier) 1760539456 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Stacie Ann Porter's physical address?
The Stacie Ann Porter is physically located at 7969 Ashton Ave, in the city of Manassas, VA, with the postal code 201092885.
What is Stacie Ann Porter's area of expertise and its corresponding taxonomy classification?
The Stacie Ann Porter's field of specialization is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1760539456 to Stacie Ann Porter?
The Stacie Ann Porter received its 1760539456 assignment from the Centers for Medicare & Medicaid Services on 2007-01-04.
As of what date were the details related to Stacie Ann Porter most recently updated or revised?
The information pertaining to Stacie Ann Porter, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.