MRS. STACY LYNNE PETTINGER MA,CCC-SLP
NPI 1578823449
Speech-Language Pathologist in Sycamore, IL
- Individual
- Female
- Speech-Language Pathologist
About STACY PETTINGER
This page provides the complete NPI Profile along with additional information for Stacy Pettinger, a provider established in Sycamore, Illinois with a medical specialization in Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1578823449 assigned on May 2012. The practitioner's primary taxonomy code is 235Z00000X with license number 146.006059 (IL). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1578823449 Verify this NPI
- Provider Name
- MRS. STACY LYNNE PETTINGER MA,CCC-SLP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1715 DEKALB AVE SUITE 125 SYCAMORE, IL 60178
- Location Phone
- (815) 991-5760
- Mailing Address
- 1825 JC KELLOG ST SYCAMORE, IL 60178
- Mailing Phone
- (815) 895-0002
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-24-2012
- Last Update Date
- 05-24-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Speech-Language Pathologist
- Taxonomy Code
- 235Z00000X
- Type
- Speech, Language and Hearing Service Providers
- License No.
- 146.006059
- License State
- IL
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
SYCAMORE, IL 60178
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578823449, enumerated as an "individual" on May 24, 2012.
The provider is located at 1715 DEKALB AVE SUITE 125 SYCAMORE, IL 60178 and the phone number is (815) 991-5760.
Speech-Language Pathologist with taxonomy code 235Z00000X.
