Individual
STACI FICARROTTO SOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
18688 JEB STUART HWY, STUART, VA 24171-1559
(276) 806-0662
Mailing address
1235 SAM LIONS TRL, MARTINSVILLE, VA 24112-5336
(276) 806-0662
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004244
VA
Other
Enumeration date
09/23/2006
Last updated
07/08/2007
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