STACEY WALLEN (PH. D., CCC-SLP) – Speech-Language Pathologist, NPI 1376657114

Speech-Language Pathologist

STACEY WALLEN (PH. D., CCC-SLP) is a healthcare provider. based in Deerfield beach, Florida. specializing in Speech-Language Pathologist. They hold the professional credentials PH. D., CCC-SLP. They hold a License No. SA5662 (FL). The NPI Number for STACEY WALLEN (PH. D., CCC-SLP) is 1376657114

Main info

Female

Sole Proprietor

Name

STACEY WALLEN (PH. D., CCC-SLP)

NPI

1376657114

Phone

(954) 415-4069

Address

2209 DISCOVERY CIR W

Enumeration Date

18 August 2006

Last Update Date

8 April 2014

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience61

Completeness75

Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for STACEY WALLEN (PH. D., CCC-SLP)

2209, Discovery Circle West, Crystal Lake, Deerfield Beach, Broward County, Florida, 33442, United States
DEERFIELD BEACH, FL 334421006
Phone: (954) 415-4069
Fax: (954) 596-0355
Type: Mailing
3201 ROCKPORT DR
LITHONIA, GA 300381834
Phone: (954) 415-4069
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33442)

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Frequently asked questions

What NPI should I save for STACEY WALLEN (PH. D., CCC-SLP)?

Save NPI 1376657114 if you need a stable reference for STACEY WALLEN (PH. D., CCC-SLP).

Is STACEY WALLEN (PH. D., CCC-SLP)'s NPI currently valid?

The extract we use shows STACEY WALLEN (PH. D., CCC-SLP) as active.

What field does STACEY WALLEN (PH. D., CCC-SLP) work in?

You can think of STACEY WALLEN (PH. D., CCC-SLP) as practicing within Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.

Where does public data place STACEY WALLEN (PH. D., CCC-SLP)?

The snapshot lists Deerfield Beach, Florida for STACEY WALLEN (PH. D., CCC-SLP); download NPPES for the complete set.

Is STACEY WALLEN (PH. D., CCC-SLP) a real provider?

This page reflects official NPPES data for NPI 1376657114. Always confirm identity and privileges with the practice and licensing boards.