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

Individual provider Speech-Language Pathologist · NPI 1922239532

Mrs. Stacey Bullock, SLP is a Speech-Language Pathologist in Kennesaw, Georgia. Licensed in Georgia. Registered with an NPI since 2009.

Licensed in
GA
In the registry since
2009
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

5150 Stilesboro Rd NW Ste 410
Kennesaw, GA 30152-7759
Phone: (770) 218-2300
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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 SLP006129 (GA)

Record details

NPI number1922239532
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorNo
NPI enumeratedJuly 30, 2009
Last updated in NPPESJuly 30, 2009

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