MRS. Stacey Renae Nickell, M.S. CCC-SLP
NPI #1225372667 in Beckley, West Virginia
Provider Information
- NPI Number
- 1225372667
- Entity Type
- Individual
- Name
- MRS. Stacey Renae Nickell, M.S. CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S. CCC-SLP
- Enumeration Date
- Nov 26, 2012
- Last Updated
- Nov 26, 2012
Practice Location
- Address
- 405 STANAFORD RD
- City
- Beckley
- State
- West Virginia
- ZIP Code
- 25801-3143
- Phone
- (304) 252-6317
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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