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

Individual provider Speech-Language Pathologist · NPI 1093217580

Stacey Goldberg, MS, CCC-SLP is a Speech-Language Pathologist in Manassas, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2018
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

14715 Bristow Rd
Manassas, VA 20112-3945
Phone: (571) 248-4930
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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 2202004389 (VA)

Record details

NPI number1093217580
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedMarch 1, 2018
Last updated in NPPESMarch 1, 2018

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