Individual
MRS. STEPHANIE J. LUCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
175 MAYFIELD DR, BOYDTON, VA 23917-2817
(434) 738-6111
Mailing address
1008 CHARLES ST, SOUTH HILL, VA 23970-1304
(434) 865-0208
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2203000563
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2203000563
—
VA
Enumeration date
03/22/2018
Last updated
03/22/2018
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