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STACEY WATSON M.S. NPI 1255718854


NPI Information

NPI: 1255718854
Provider Name: STACEY WATSON, M.S.
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
3292 N EVERGREEN DR NE
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 365-8920
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Stacey Watson, M.S. is a speech language pathologist in Grand Rapids, MI. The provider is 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. Stacey Watson, M.S. NPI is 1255718854. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3292 N EVERGREEN DR NE
GRAND RAPIDS, MI
ZIP 49525-746
Phone: (616) 365-8920
Fax: (616) 365-8971

The enumeration date for this NPI number is 5/4/2015 and was last updated on 6/27/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12355S0801XSpecialist/TechnologistSpeech-Language AssistantNo
2235Z00000XSpeech-Language Pathologist7101005811MICHIGANYes
3235Z00000XSpeech-Language Pathologist146.013153ILLINOISNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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