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STACEY JOANNA JEONG
NPI 1972272433
Speech-Language Pathologist in San Bruno, CA

Active since September 08, 2021
462 SAN MATEO AVE STE A, SAN BRUNO, CA 94066(415) 469-4988 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacey Joanna Jeong NPPES

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

STACEY JOANNA JEONG (NPI 1972272433) is an individual speech-language pathologist provider in San Bruno, California, licensed in California (15943) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1972272433
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSTACEY JOANNA JEONG
Location Address462 SAN MATEO AVE STE ASan Bruno, CA 94066-4437
Mailing Address462 San Mateo Ave Ste ASan Bruno, CA 94066-4437 · (415) 469-4988
Phone(415) 469-4988
Sole ProprietorNo
Enumeration DateSeptember 8, 2021
NPPES CertifiedSeptember 8, 2021
✔ NPI 1972272433 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 CA · 15943
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.
462 SAN MATEO AVE STE A, San Bruno, CA 94066
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Other Providers at the Same Location NPPES 2

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

GLENDA C DELGADO M.S,
Speech-Language Pathologist
462 SAN MATEO AVE STE A
SAN BRUNO, CA 94066
San Mateo County (916) 729-3098
MS. LAUREN N ACHACOSO CF-SLP
Speech-Language Pathologist
462 SAN MATEO AVE STE A
SAN BRUNO, CA 94066
San Mateo County (510) 250-9199

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 Jeong's NPI number?

The NPI number for Stacey Jeong is 1972272433. It was assigned to this individual provider in the NPPES registry on September 8, 2021.

Where is Stacey Jeong located?

Stacey Jeong practices at 462 San Mateo Ave Ste A, San Bruno, CA 94066. The listed phone number is (415) 469-4988.

What is Stacey Jeong'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 Jeong was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.