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Stacey Wallen, PHD,CCC-SLP
Speech-Language Pathologist in Lithonia, Georgia
NPI 1376657114

Stacey Wallen is a Speech-Language Pathologist based in Deerfield Beach, GA. Stacey Wallen practices in Lithonia, GA and has the professional credentials of PHD,CCC-SLP. The NPI Number for Stacey Wallen is 1376657114 and holds a License No. SA5662 (Georgia).

The current practice location address for Stacey Wallen is 3201 Rockport Dr, Lithonia, GA and can be reached out via phone at 954-415-4069.

Location: 3201 Rockport Dr, Lithonia, GA, 33442-1006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376657114
Provider Name
Stacey Wallen
Credential
PHD,CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
3201 Rockport Dr, Lithonia, GA, 33442-1006
Phone Number
954-415-4069
Fax Number
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SLP006932 01 GA GA LICENSE NUMBER
SA5662 01 FL STATE LICENSE NUMBER
003121866B 05 GA
8857075 05 FL
institution
Provider Business Practice Location Address Details
Address
3201 Rockport Dr
City
Lithonia
State
Georgia
Zip
30038-1834
Phone Number
954-415-4069
Fax Number
person
Provider Business Mailing Address Details
Address
3201 Rockport Dr
City
Lithonia
State
Georgia
Zip
30038-1834
Phone Number
954-415-4069
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
235Z00000X
License No.
SA5662 (Florida)
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.
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