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

Q: 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.

Q: What is Stacey Busboom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacey Busboom was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

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: August 16, 2026.

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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

Phone(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

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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.

STACEY BUSBOOM SPEECH THERAPY LLC

Clinic/Center (Hearing and Speech)

4535 CHANDLER CT
MONROE, GA 30656

Walton County (770) 625-0029

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.