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NPI Code Detail

MEDICARE: STACEY LEANN NEPVEUX MS, CCC-SLP

MEDICARE:   STACEY LEANN NEPVEUX  MS, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist103383TX

General Provider Information

NPI Number : 1073025110
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACEY LEANN NEPVEUX MS, CCC-SLP
Provider Business Mailing Address
First Line : 1424 RED DR
Second Line :
City : LITTLE ELM
State : TX
Zip : 75068-3429
Country : US
Telephone Number : 214-783-1221
Fax Number :
Provider Business Practice Location Address
First Line : 9711 BIRDSNEST CT
Second Line :
City : SPRING
State : TX
Zip : 77379-5394
Country : US
Telephone Number : 214-783-1221
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2017
Last Update Date : 08/22/2022

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Directions to “ STACEY LEANN NEPVEUX MS, CCC-SLP” Practice Location

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