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

Individual provider Speech-Language Pathologist · NPI 1164703856

Mrs. Stacey L Jantzen, MSCCC-SLP is a Qualified Speech Language Pathologist in Albany, New York. Qualified in 2005, 21 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2011
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Practice location Address checks out

230 Schoolhouse Rd
Albany, NY 12203-5957
Phone: (518) 250-4045
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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 016999 (NY)

Record details

NPI number1164703856
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedSeptember 8, 2011
Last updated in NPPESSeptember 8, 2011

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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