Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Stacey Ann Busboom, EDS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1295971612

Mrs. Stacey Ann Busboom, EDS, CCC-SLP is a Speech-Language Pathologist in Monroe, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2009
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

4535 Chandler Ct
Monroe, GA 30656-3688
Phone: (770) 625-0029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP006818 (GA)

Record details

NPI number1295971612
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDS , CCC-SLP
Sole proprietorYes
NPI enumeratedJanuary 7, 2009
Last updated in NPPESNovember 27, 2023
Certification dateNovember 27, 2023

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