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

Individual provider Speech-Language Pathologist · NPI 1427267608

Mrs. Stacy Derenard, MA, CCC-SLP is a Speech-Language Pathologist in Garden Grove, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
MA — Master of Arts
A graduate arts 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

12060 Valley View St Ste 137
Garden Grove, CA 92845
Phone: (714) 901-1518
Fax: (714) 901-1359
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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 SP 14604 (CA)

Record details

NPI number1427267608
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedMay 22, 2007
Last updated in NPPESMarch 1, 2017

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