Individual
MRS. STACEY LEIGH HITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
600 NE MEADOWVIEW DR, LEES SUMMIT, MO 64064-1983
(816) 554-9866
Mailing address
600 NE MEADOWVIEW DR, LEES SUMMIT, MO 64064-1983
(816) 554-9866
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2006015432
MO
235Z00000X
Speech-Language Pathologist
3103
KS
Other
Enumeration date
07/27/2014
Last updated
07/27/2014
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