MRS. STACEY ANN BUSBOOM ED.S., CCC-SLP
NPI 1295971612
Speech-Language Pathologist in Monroe, GA

Active since January 07, 2009
4535 CHANDLER CT, MONROE, GA 30656(770) 625-0029 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Stacey Ann Busboom Ed.s., Ccc-slp NPPES

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

MRS. STACEY ANN BUSBOOM ED.S., CCC-SLP (NPI 1295971612) is an individual speech-language pathologist provider in Monroe, Georgia, licensed in Georgia (SLP006818) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1295971612
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. STACEY ANN BUSBOOMCredential: ED.S., CCC-SLP
Location Address4535 CHANDLER CTMonroe, GA 30656-3688
Mailing Address4535 Chandler CtMonroe, GA 30656-3688 · (770) 625-0029
Sole ProprietorYes
Enumeration DateJanuary 7, 2009
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedNovember 27, 2023
NPI 1295971612 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 · SLP006818
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.

4535 CHANDLER CT, Monroe, GA 30656

Other Identifiers 1

Medicaid432013779AGA

Other Providers at the Same Location NPPES

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

Clinic/Center (Hearing and Speech)
4535 CHANDLER CT
MONROE, GA 30656

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 Busboom's NPI number?

The NPI number for Stacey Busboom is 1295971612. It was assigned to this individual provider in the NPPES registry on January 7, 2009.

Where is Stacey Busboom located?

Stacey Busboom practices at 4535 Chandler Ct, Monroe, GA 30656. The listed phone number is (770) 625-0029.

What is Stacey Busboom'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 Busboom was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.