MEDICARE: AMY CHRISTINE STUBBS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	3651	SC

General Provider Information

NPI Number	:	1841455037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY CHRISTINE STUBBS

Provider Business Mailing Address
First Line	:	17 MEAD LN
Second Line	:
City	:	HILTON HEAD ISLAND
State	:	SC
Zip	:	29926-2253
Country	:	US
Telephone Number	:	843-422-3239
Fax Number	:

Provider Business Practice Location Address
First Line	:	17 MEAD LN
Second Line	:
City	:	HILTON HEAD ISLAND
State	:	SC
Zip	:	29926-2253
Country	:	US
Telephone Number	:	843-422-3239
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2008
Last Update Date	:	07/28/2008

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Directions to “ AMY CHRISTINE STUBBS ” Practice Location

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