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

Individual provider Speech-Language Pathologist · NPI 1023165479

Mrs. Stacey Lyn Gothard, MEDCCC-SLP is a Speech-Language Pathologist in Social Circle, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2007
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Practice location Address checks out

335 Nicklaus Cir
Social Circle, GA 30025-5344
Phone: (678) 625-4556
Fax: (678) 625-9638
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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 SLP005346 (GA)

Record details

NPI number1023165479
Entity typeIndividual (Type 1)
GenderFemale
Credentials MEDCCC-SLP
Sole proprietorYes
NPI enumeratedJanuary 5, 2007
Last updated in NPPESJuly 8, 2007

Other providers in Social Circle