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STACEY GOLDBERG M.S., CCC-SLP
NPI 1093217580
Speech-Language Pathologist in Manassas, VA

Active since March 01, 2018
14715 BRISTOW RD, MANASSAS, VA 20112(571) 248-4930 Get Directions Write a Review

NPPES record last updated: March 1, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacey Goldberg M.s., Ccc-slp NPPES

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

STACEY GOLDBERG M.S., CCC-SLP (NPI 1093217580) is an individual speech-language pathologist provider in Manassas, Virginia, licensed in Virginia (2202004389) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1093217580
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSTACEY GOLDBERGCredential: M.S., CCC-SLP
Location Address14715 BRISTOW RDManassas, VA 20112-3945
Mailing Address14715 Bristow RdManassas, VA 20112-3945 · (571) 248-4930
Phone(571) 248-4930
Sole ProprietorYes
Enumeration DateMarch 1, 2018
✔ NPI 1093217580 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 VA · 2202004389
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.
14715 BRISTOW RD, Manassas, VA 20112
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA MATHIAS WEATHERS MS, CCC
Speech-Language Pathologist
14715 BRISTOW RD
MANASSAS, VA 20112
Prince William County (703) 791-2099
MRS. NITA PUTNAM CCC-SLP
Speech-Language Pathologist
14715 BRISTOW RD
MANASSAS, VA 20112
Prince William County (703) 586-9929
CYNTHIA CARMINA OTR/L
Occupational Therapist
14715 BRISTOW RD
MANASSAS, VA 20112
Prince William County (703) 791-7282
DESIREA MOORE-MITCHELL
Speech-Language Pathologist
14715 BRISTOW RD
MANASSAS, VA 20112
Prince William County (703) 791-7200
GRACE TOVAR OTR/L
Occupational Therapist
14715 BRISTOW RD
MANASSAS, VA 20112
Prince William County (703) 791-7282
ALISON DAWN SAVANNAH CCC-SLP
Speech-Language Pathologist
14715 BRISTOW RD
MANASSAS, VA 20112
Prince William County (724) 841-5088
MRS. ANNA BRAWLEY KOVALICH CCC-SLP
Speech-Language Pathologist
14715 BRISTOW RD
MANASSAS, VA 20112
Prince William County (703) 491-1126
MRS. JULIE ANN ROTH
Speech-Language Pathologist
14715 BRISTOW RD
MANASSAS, VA 20112
Prince William County (571) 598-3118

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 Goldberg's NPI number?

The NPI number for Stacey Goldberg is 1093217580. It was assigned to this individual provider in the NPPES registry on March 1, 2018.

Where is Stacey Goldberg located?

Stacey Goldberg practices at 14715 Bristow Rd, Manassas, VA 20112. The listed phone number is (571) 248-4930.

What is Stacey Goldberg'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 Goldberg was last updated on March 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.