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

Individual provider Speech-Language Pathologist · NPI 1316227200

Mrs. Staceyann Wade Shoemake, MSCCC-SLP is a Speech-Language Pathologist in Mansfield, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2011
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Practice location Address checks out

605 E Broad St
Mansfield, TX 76063-1794
Phone: (817) 299-6300
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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 103343 (TX)

Record details

NPI number1316227200
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedAugust 23, 2011
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

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