Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Raegan Mae Stanley, SLP

Individual provider Speech-Language Pathologist · NPI 1053761437

Raegan Mae Stanley, SLP is a Qualified Speech Language Pathologist in Virginia Beach, Virginia. Qualified in 2015, 11 years ago. Accepts Medicare assignment. Licensed in California, Maryland, Pennsylvania and Virginia.

Years since qualifying
11
Licensed in
CA, MD, PA, VA
In the registry since
2016
Specialties on file
4
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

900 Commonwealth Pl Ste 200
Virginia Beach, VA 23464-4530
Phone: (570) 317-1997
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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 2202009502 (VA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 34243 (CA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SL012895 (PA)
Audiologist-Hearing Aid Fitter Taxonomy 237600000X · Licence 10975 (MD)

Record details

NPI number1053761437
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorNo
NPI enumeratedJune 16, 2016
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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