Stacey Leigh Mathis, MS,CCC-SLP

Speech-Language Pathologist · Olive Branch, MS

Individual Active NPI

NPI number 1023039906

Practice location

5600 Goodman Rd Ste D
Olive Branch, MS 38654-7002
Phone
(662) 895-4545
Fax
(662) 895-4546

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NPI record

NPI
1023039906
Entity type
Individual (Type 1)
Enumeration date
July 23, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X S2304 MS

About Stacey Mathis

Stacey Leigh Mathis, MS,CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 5600 Goodman Rd Ste D, Olive Branch, MS 38654-7002. The NPI number 1023039906 was assigned on July 23, 2006 and the record was last updated on July 8, 2007.

Stacey Mathis lists a license in the registry: #S2304 (MS) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stacey Leigh Mathis, MS,CCC-SLP?

The NPI number is 1023039906.

What is the phone number of Stacey Mathis?

The phone number listed for the practice location is (662) 895-4545.

Where is Stacey Mathis located?

5600 Goodman Rd Ste D, Olive Branch, MS 38654-7002.

What is the taxonomy code for Stacey Mathis?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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