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MRS. STACY LYNNE PETTINGER MACCC-SLP NPI 1578823449


NPI Information

NPI: 1578823449
Provider Name: MRS. STACY LYNNE PETTINGER, MA,CCC-SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
1715 DEKALB AVE
SUITE 125
SYCAMORE, IL
ZIP 60178
Phone: (815) 991-5760
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MRS. Stacy Lynne Pettinger, MA,CCC-SLP is a speech language pathologist in Sycamore, IL. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. MRS. Stacy Lynne Pettinger, MA,CCC-SLP NPI is 1578823449. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1715 DEKALB AVE
SUITE 125
SYCAMORE, IL
ZIP 60178-736
Phone: (815) 991-5760

The enumeration date for this NPI number is 5/24/2012 and was last updated on 5/24/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language Pathologist146.006059ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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