Individual
MS. STACY ANN CLEVENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
9100 WHITE BLUFF RD, SUITE 202, SAVANNAH, GA 31406-4668
(912) 335-8486
(912) 335-3528
Mailing address
9100 WHITE BLUFF RD STE 202, SAVANNAH, GA 31406-4600
(912) 335-8486
(912) 335-3528
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP 008056
GA
235Z00000X
Speech-Language Pathologist
SP 17914
CA
Other
Enumeration date
08/13/2010
Last updated
05/10/2013
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