Individual provider · Type 1 NPI

Kelly Stacy

Speech-Language Pathologist · San Juan Capistrano, CA

NPI number 1508765108 Active

Practice location

29211 Stallion Rdg
San Juan Capistrano, CA 92675-3602

Call (949) 234-5900 Map

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X250264162 (CA)

Speech-Language Pathologist: 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, resonan…

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About NPI 1508765108

Kelly Stacy's National Provider Identifier is 1508765108, issued on Nov 2, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in San Juan Capistrano, CA. The record was last updated on Nov 2, 2026.