Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Prentiss Stidham, MED, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1952987877

Prentiss Stidham, MED, CCC-SLP is a Speech-Language Pathologist in Maryville, Tennessee. Practices as a sole proprietor and works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2021
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
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

906 N Briarcliff Cir
Maryville, TN 37803-6445
Phone: (865) 742-4929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 906 N Briarcliff Cir, Maryville, TN 37803-6445 — (865) 742-4929

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 6740 (TN)

Record details

NPI number1952987877
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , CCC-SLP
Sole proprietorYes
NPI enumeratedMarch 22, 2021
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021

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