PRENTISS STIDHAM M.ED., CCC-SLP
NPI 1952987877
Speech-Language Pathologist in Maryville, TN

Active since March 22, 2021
906 N BRIARCLIFF CIR, MARYVILLE, TN 37803(865) 742-4929 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prentiss Stidham M.ed., Ccc-slp NPPES

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

PRENTISS STIDHAM M.ED., CCC-SLP (NPI 1952987877) is an individual speech-language pathologist provider in Maryville, Tennessee, licensed in Tennessee (6740) and active in the NPI registry since March 2021. She maintains a secondary practice location in Maryville.

NPPES Registry Identity

NPI1952987877
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NamePRENTISS STIDHAMCredential: M.ED., CCC-SLP
Location Address906 N BRIARCLIFF CIRMaryville, TN 37803-6445
Mailing AddressPo Box 6425Maryville, TN 37802-6425 · (865) 742-4929
Sole ProprietorYes
Enumeration DateMarch 22, 2021
NPPES CertifiedMarch 22, 2021
NPI 1952987877 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 TN · 6740
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.
906 N BRIARCLIFF CIR, Maryville, TN 37803

Secondary Practice Location 1

Location 1906 N Briarcliff CirMaryville, TN 37803-6445 · Phone (865) 742-4929

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 Prentiss Stidham's NPI number?

The NPI number for Prentiss Stidham is 1952987877. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Where is Prentiss Stidham located?

Prentiss Stidham practices at 906 N Briarcliff Cir, Maryville, TN 37803. The listed phone number is (865) 742-4929.

What is Prentiss Stidham'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 Prentiss Stidham was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.