MRS. STACY N SHIN M.A., CCC-SLP
NPI 1124206628
Speech-Language Pathologist in Camarillo, CA

Active since February 06, 2008
4943 VIA CUPERTINO, CAMARILLO, CA 93012(805) 302-7384 Get Directions Write a Review

NPPES record last updated: February 6, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Stacy N Shin M.a., Ccc-slp NPPES

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

MRS. STACY N SHIN M.A., CCC-SLP (NPI 1124206628) is an individual speech-language pathologist provider in Camarillo, California, licensed in California (10104) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1124206628
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. STACY N SHINCredential: M.A., CCC-SLP
Location Address4943 VIA CUPERTINOCamarillo, CA 93012-5275
Mailing Address4943 Via CupertinoCamarillo, CA 93012-5275 · (805) 302-7384
Sole ProprietorYes
Enumeration DateFebruary 6, 2008
NPI 1124206628 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 CA · 10104
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.

4943 VIA CUPERTINO, Camarillo, CA 93012

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124206628, enumerated as an "individual" on February 06, 2008.

The provider is located at 4943 VIA CUPERTINO CAMARILLO, CA 93012 and the phone number is (805) 302-7384.

Speech-Language Pathologist with taxonomy code 235Z00000X.