| Stacey Wallen, PH D, CCC-SLP | |
|
3201 Rockport Dr, Lithonia, GA 30038-1834 | |
| (954) 415-4069 | |
| Not Available |
| Full Name | Stacey Wallen |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 3201 Rockport Dr, Lithonia, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376657114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SA5662 (Florida) | Secondary |
| 235Z00000X | Speech-language Pathologist | SLP006932 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Wallen, PH D, CCC-SLP 2209 Discovery Cir W, Deerfield Beach, FL 33442-1006 Ph: (954) 415-4069 | Stacey Wallen, PH D, CCC-SLP 3201 Rockport Dr, Lithonia, GA 30038-1834 Ph: (954) 415-4069 |
Miss Tameka Blanette Bacon, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7327 Vigo Dr, Lithonia, GA 30058 Phone: 404-808-2323 |
Jordyn Montique, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6194 Saint Christophers Ct, Lithonia, GA 30058 Phone: 951-818-7734 |
Amye Slate, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7162 Lone Oak Way, Lithonia, GA 30058 Phone: 404-606-3755 Fax: 877-730-2912 |
Ms. Treva Tai Bibbs-bugg, M.ED-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3123 Klondike Rd, Lithonia, GA 30038 Phone: 770-482-3828 |
Kaitlin Commiskey, M.A. CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7162 Lone Oak Way, Lithonia, GA 30058 Phone: 404-606-3755 Fax: 770-696-1065 |
Raven Samone Watkins, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2537 Oakleaf Rdg, Lithonia, GA 30058 Phone: 205-499-5837 |
Shanise Showell, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2100 Strang Blvd, Lithonia, GA 30058 Phone: 404-671-7463 |