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STACEY WATSON M.S.
NPI 1255718854
Speech-Language Pathologist in Grand Rapids, MI

Active since May 04, 2015
3292 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525(616) 365-8920(616) 365-8971 Get Directions Write a Review

NPPES record last updated: June 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2018, Jul 16, 2016 (2 updates tracked since 2016).

About Stacey Watson M.s. NPPES

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

STACEY WATSON M.S. (NPI 1255718854) is an individual speech-language pathologist provider in Grand Rapids, Michigan, licensed in Michigan (7101005811) and active in the NPI registry since May 2015. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1255718854
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSTACEY WATSONCredential: M.S.
Location Address3292 N EVERGREEN DR NEGrand Rapids, MI 49525-9746
Mailing Address3292 N Evergreen Dr NeGrand Rapids, MI 49525-9746 · (616) 365-8920 · Fax (616) 365-8971
Phone(616) 365-8920
Fax(616) 365-8971
Sole ProprietorNo
Enumeration DateMay 4, 2015
Last NPPES UpdateJune 27, 20182 updates tracked since enumeration
✔ NPI 1255718854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in MI · 7101005811✔ Licensed in IL · 146.013153
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.
Also ListedSpecialist/Technologist · Speech-Language AssistantTaxonomy 2355S0801X
3292 N EVERGREEN DR NE, Grand Rapids, MI 49525
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Secondary Practice Location 1

Location 1445 W Wellington Ave, 10FChicago, IL 60657-5856 · Phone (616) 826-4456

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.

NANCY HAMSTREET LMSW
Social Worker (School)
3292 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920
RENEE ORR LMSW
Social Worker
3292 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920
STEPHANIE BROWN
Social Worker (Clinical)
3292 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920
KENDRA-MARIE MADDISON GARCIA MD, BCBA, LBA
Behavior Analyst
3292 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920
KRESTIN RADONOVICH PHD
Psychologist (Clinical)
3292 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920
LAUREN VANDRUNEN LMSW
Social Worker (Clinical)
3292 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920
MATTHEW SCOTT PETTINGA MA, LPC
Counselor
3292 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920
SUSAN MCKEEBY BCBA, LBA
Behavior Analyst
3292 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 365-8920

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 Watson's NPI number?

The NPI number for Stacey Watson is 1255718854. It was assigned to this individual provider in the NPPES registry on May 4, 2015.

Where is Stacey Watson located?

Stacey Watson practices at 3292 N Evergreen Dr NE, Grand Rapids, MI 49525. The listed phone number is (616) 365-8920.

What is Stacey Watson'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 Watson was last updated on June 27, 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.