Doctor Name: | MRS. STACY LAYNE FOSNESS |
NPI Number: | 1023279353 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., C.C.C.-S.L.P. |
License Number: | 4170 |
Business Practice Address: | 202 Smoketree Way Louisburg, NC - 275492165 |
Business Phone Number: | 9194966500 |
Business Fax Number: | |
Mailing Address: | 408 Peach Orchard Rd, LOUISBURG |
State: | NC |
Postal Code: | 275499133 |
Phone Number: | 9194967536 |
Fax Number: | |
NPI Enumeration Date: | 06/19/2008 |
NPI Last Update Date: | 06/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4170 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |