| NPI | 1871748830 |
|---|---|
| Former Name | STACY LYNN MECKLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22005105A) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL002668L) |
| 235Z00000X Speech-Language Pathologist, (Licence: IN 22005051) | |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2024-06-07 |