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

Individual provider Speech-Language Pathologist · NPI 1164683504

Mrs. Stacy Ann Kindervater, MS, CCC-SLP is a Speech-Language Pathologist in Little Rock, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2008
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

1200 Reservoir Rd
Little Rock, AR 72227-5712
Phone: (501) 447-5529
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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 SP1123 (AR)

Record details

NPI number1164683504
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedJune 18, 2008
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024

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