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Individual
MRS. STACEY COUEY TYNDALL
Active
Individual
MRS. STACEY COUEY TYNDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5831
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12057951
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
—
01
—
5831
BOARD OF EXAMINERS FOR SPEECH AND LANGUAGE PATHOLOGISTS AND AUDIOLOGISTS
NC
Enumeration date
02/02/2010
Last updated
02/02/2010
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