Mrs. Stacey Michelle Tillett

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013281971

Mrs. Stacey Michelle Tillett is a Student in an Organized Health Care Education/Training Program in Kitty Hawk, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in: NC
In the registry since: 2012
Specialties on file: 2

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Practice location Address checks out

4012 Poor Ridge Rd
Kitty Hawk, NC 27949-4334
Phone: (252) 493-2595

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary)	Taxonomy 235Z00000X · Licence 10299 (NC)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X (NC)

Record details

NPI number	1013281971
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	February 23, 2012
Last updated in NPPES	March 11, 2013