Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea Lacey

Individual provider Speech-Language Pathologist · NPI 1174123202

Andrea Lacey is a Qualified Speech Language Pathologist in Puyallup, Washington. Qualified in 2020, 6 years ago. Works from 3 locations. Licensed in New Jersey.

Years since qualifying
6
Licensed in
NJ
In the registry since
2020
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Practice location Address checks out

17615 85th Avenue Ct E
Puyallup, WA 98375-1902
Phone: (253) 216-2589
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 Bethany Rd Ste 60, Hazlet, NJ 07730-1667 — (732) 888-3912
  • 120 E River Rd, Rumson, NJ 07760-1631 — (732) 888-3912

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 1162520 (NJ)

Record details

NPI number1174123202
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 28, 2020
Last updated in NPPESApril 12, 2024
Certification dateApril 12, 2024
Mailing address17615 85th Avenue Ct E, Puyallup, WA 98375-1902

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Puyallup