1. Home
  2. Directory
  3. Georgia
  4. Social Circle
  5. Speech Language Pathologist
  6. NPI Profile

MRS. STACEY LYN GOTHARD MED CCC-SLP
NPI 1023165479
Speech-Language Pathologist in Social Circle, GA

Active since January 05, 2007
335 NICKLAUS CIR, SOCIAL CIRCLE, GA 30025(678) 625-4556(678) 625-9638 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Stacey Lyn Gothard Med Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. STACEY LYN GOTHARD MED CCC-SLP (NPI 1023165479) is an individual speech-language pathologist provider in Social Circle, Georgia, licensed in Georgia (SLP005346) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1023165479
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. STACEY LYN GOTHARDCredential: MED CCC-SLP
Location Address335 NICKLAUS CIRSocial Circle, GA 30025-5344
Mailing Address335 Nicklaus CirSocial Circle, GA 30025-5344 · (678) 625-4556 · Fax (678) 625-9638
Phone(678) 625-4556
Fax(678) 625-9638
Sole ProprietorYes
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1023165479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in GA · SLP005346
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.
335 NICKLAUS CIR, Social Circle, GA 30025
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Gothard's NPI number?

The NPI number for Stacey Gothard is 1023165479. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Stacey Gothard located?

Stacey Gothard practices at 335 Nicklaus Cir, Social Circle, GA 30025. The listed phone number is (678) 625-4556.

What is Stacey Gothard's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Stacey Gothard was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.