Individual
STACY J EUBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
S.L.P.
Contact information
Practice address
125 BUENA VISTA CIR, SOUTH HILL, VA 23970-1431
(434) 774-2506
Mailing address
160 REED CIR, SOUTH HILL, VA 23970-7172
(434) 447-2823
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006797
VA
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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