Stacy Carlock

Speech-Language Pathologist · Ballwin, MO

Individual Active NPI

NPI number 1366354185

Practice location

530 Kenilworth Ln
Ballwin, MO 63011-2458
Phone
(314) 297-7721

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NPI record

NPI
1366354185
Entity type
Individual (Type 1)
Enumeration date
September 17, 2026
Last updated
September 17, 2026
Certified
September 17, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 2012029302 MO

About Stacy Carlock

Stacy Carlock is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 530 Kenilworth Ln, Ballwin, MO 63011-2458. The NPI number 1366354185 was assigned on September 17, 2026 and the record was last updated on September 17, 2026.

Stacy Carlock lists a license in the registry: #2012029302 (MO) 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 Stacy Carlock?

The NPI number is 1366354185.

What is the phone number of Stacy Carlock?

The phone number listed for the practice location is (314) 297-7721.

Where is Stacy Carlock located?

530 Kenilworth Ln, Ballwin, MO 63011-2458.

What is the taxonomy code for Stacy Carlock?

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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