Mrs Stacy B Church, MCD CCC-SLP is a
Speech-language Pathologist based in Killen, Alabama. Mrs Stacy B Church is licensed to practice in * (Not Available) (license number ) and her current practice location is
100 School Ln, Killen, Alabama. She can be reached at her office (for appointments etc.) via phone at
(256) 757-2171.
NPI number for Mrs Stacy B Church is 1235490517 and her current mailing address is 12 Cedarbrook Ln, Killen, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235490517.
Healthcare Provider's Profile
Full Name | Mrs Stacy B Church |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 100 School Ln, Killen, Alabama |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235490517
- Provider Enumeration Date: 06/04/2012
- Last Update Date: 06/04/2012
Medical Identifiers
Medical identifiers for Mrs Stacy B Church such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235490517 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Stacy B Church is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Stacy B Church, MCD CCC-SLP 12 Cedarbrook Ln, Killen, AL 35645-6867 Ph: (334) 618-4453 | Mrs Stacy B Church, MCD CCC-SLP 100 School Ln, Killen, AL 35645-9054 Ph: (256) 757-2171 |
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