Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. STACEY LYN GOTHARD, MED CCC-SLP
Active Sole ProprietorMRS. STACEY LYN GOTHARD, MED CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in SOCIAL CIRCLE, Georgia. NPI 1023165479 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · SOCIAL CIRCLE, GA
Registration Details
- NPI Number
- 1023165479
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 5, 2007 (19.56777254132 yrs)
- Last Updated
- Jul 8, 2007
- License
-
SLP005346 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
335 NICKLAUS CIRSOCIAL CIRCLE, GA, 300255344Browse GA providers · Browse ZIP 30025
- Phone
- 6786254556
- Fax
- 6786259638
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in SOCIAL CIRCLE, GA
| Name | Credential | NPI |
|---|---|---|
| NANCY GEIS | SLP | 1629150313 |
| MELANIE BARTRAM | SLP | 1497837199 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.