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

Stacey Chupp

Individual provider Speech-Language Pathologist · NPI 1164661260

Stacey Chupp is a Qualified Speech Language Pathologist in Germantown, Maryland. Qualified in 2005, 21 years ago. Practices with Paxxon Healthcare Services LLC, a 153-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
21
Licensed in
IN
In the registry since
2009

Practice location Address checks out

20410 Century Blvd Nrh Regional Rehab - Ste 215
Germantown, MD 20874-1186
Phone: (301) 540-6140
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 22004431A (IN)

Record details

NPI number1164661260
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 12, 2009
Last updated in NPPESFebruary 12, 2009
Mailing address20410 Century Blvd, Nrh Regional Rehab - Suite 215, Germantown, MD 20874-1186

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Paxxon Healthcare Services Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Germantown