MS. STACIE WENDEL ROBERSON SLP
NPI 1407384472
Speech-Language Pathologist in Jackson, MS

Active since June 02, 2017
1417 LELIA DR, JACKSON, MS 39216(601) 982-7827(601) 982-0080 Get Directions Write a Review

NPPES record last updated: June 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Stacie Wendel Roberson Slp NPPES

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

MS. STACIE WENDEL ROBERSON SLP (NPI 1407384472) is an individual speech-language pathologist provider in Jackson, Mississippi, licensed in Mississippi (S4008) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1407384472
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMS. STACIE WENDEL ROBERSONCredential: SLP
Location Address1417 LELIA DRJackson, MS 39216-4721
Mailing Address613 Winteridge PlRidgeland, MS 39157-4144 · (601) 720-1878
Fax(601) 982-0080
Sole ProprietorYes
Enumeration DateJune 2, 2017
NPI 1407384472 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 MS · S4008
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.
1417 LELIA DR, Jackson, MS 39216

Other Providers at the Same Location NPPES 5

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

Occupational Therapist
1417 LELIA DR
JACKSON, MS 39216
Local Education Agency (LEA)
1417 LELIA DR
JACKSON, MS 39216
Counselor (Professional)
1417 LELIA DR
JACKSON, MS 39216
Speech-Language Pathologist
1417 LELIA DR
JACKSON, MS 39216
Occupational Therapist
1417 LELIA DR
JACKSON, MS 39216

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 Stacie Roberson's NPI number?

The NPI number for Stacie Roberson is 1407384472. It was assigned to this individual provider in the NPPES registry on June 2, 2017.

Where is Stacie Roberson located?

Stacie Roberson practices at 1417 Lelia Dr, Jackson, MS 39216. The listed phone number is (601) 982-7827.

What is Stacie Roberson'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 Stacie Roberson was last updated on June 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.