Individual provider · NPI-1

Stacey Levy, MS, CCC-SLP

Speech-Language Pathologist, · Sandy Springs, GA

NPI number1255795183
StatusActive
Last updated in NPPESJun 8, 2020

Details

NPI
1255795183
Entity type
Individual (NPI-1)
Name
Mrs. Stacey Levy
Credential
MS, CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 6, 2016
Certification date
Jun 8, 2020
Last updated
Jun 8, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SLP004844GAYes

Practice location

4651 Roswell Rd Ste F501
Sandy Springs, GA 30342-3051

Phone 678-358-8140

Mailing address

310 Craighead Dr
Atlanta, GA 30319-1085

Phone 678-358-8140

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