Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY WALLEN, PH. D., CCC-SLP
Active Sole ProprietorSTACEY WALLEN, PH. D., CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in LITHONIA, Georgia. NPI 1376657114 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · LITHONIA, GA
Registration Details
- NPI Number
- 1376657114
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 18, 2006 (19.952110974275 yrs)
- Last Updated
- Apr 8, 2014
- Licenses
-
SA5662 (FL)SLP006932 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3201 ROCKPORT DRLITHONIA, GA, 300381834Browse GA providers · Browse ZIP 30038
- Phone
- 9544154069
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
- Additional Specialty
- Speech, Language and Hearing Specialist
Other Speech, Language and Hearing Specialist Providers in LITHONIA, GA
| Name | Credential | NPI |
|---|---|---|
| JOYCE MARIE CHANEY | CCC-SLP | 1356438089 |
| MS. FELICIA JANEL ALFORD | M.A.CCC-SLP | 1205994001 |
| ANNISSIA C. DAVIS | SLP | 1194880161 |
| TAWANNA C JACKSON | MSP,CCC-SLP | 1790841450 |
| MISS TAMEKA BLANETTE BACON | — | 1013126770 |
| MRS. TAWNY CRYSTAL SMALL-BURNAM | SLP | 1376747428 |
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.