MEDICARE: STACY LYNN PRITCHETT

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
1	235Z00000X	Speech-Language Pathologist		CA

General Provider Information

NPI Number	:	1437088465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACY LYNN PRITCHETT

Provider Business Mailing Address
First Line	:	3121 S JOANE WAY
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92704-6125
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3121 S JOANE WAY
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92704-6125
Country	:	US
Telephone Number	:	714-797-2428
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2026
Last Update Date	:	05/15/2026

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Directions to “ STACY LYNN PRITCHETT ” Practice Location

Language	Start Address	Practice Location

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