Stacy Kisor

NPI 1770829061 · on the registry since 2012 · sole proprietor

Practice

Address: 5516 S Fort Apache Rd Ste 130
Las Vegas, NV 89148
Phone: (702) 641-8255
Organisation at this address: Speech Therapy Center Of Excellence, Inc.
Circle Of Change Adolescent Behavioral Health Counseling Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-02-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada