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Mrs. Stacey Michelle Tillett
Speech-Language Pathologist in Kitty Hawk, North Carolina
NPI 1013281971

Stacey Michelle Tillett is a Speech-Language Pathologist based in Kitty Hawk, NC. Stacey Michelle Tillett practices in Kitty Hawk, NC. The NPI Number for Stacey Michelle Tillett is 1013281971 and holds a License No. (North Carolina).

The current practice location address for Stacey Michelle Tillett is 4012 Poor Ridge Rd, Kitty Hawk, NC and can be reached out via phone at 252-493-2595.

Location: 4012 Poor Ridge Rd, Kitty Hawk, NC, 27949-4334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013281971
Provider Name
Stacey Michelle Tillett
Credential
Provider Entity Type
Individual
Gender
Female
Address
4012 Poor Ridge Rd, Kitty Hawk, NC, 27949-4334
Phone Number
252-493-2595
Fax Number
Provider Enumeration Date
02/23/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4012 Poor Ridge Rd
City
Kitty Hawk
State
North Carolina
Zip
27949-4334
Phone Number
252-493-2595
Fax Number
person
Provider Business Mailing Address Details
Address
4012 Poor Ridge Rd
City
Kitty Hawk
State
North Carolina
Zip
27949-4334
Phone Number
252-493-2595
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
235Z00000X
License No.
10299 (North Carolina)
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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