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

Individual provider Speech-Language Pathologist · NPI 1265753966

Stacey Headrick, MEDCCC-SLP is a Speech-Language Pathologist in Wilmington, North Carolina. Practices as a sole proprietor. Licensed in North Carolina and Virginia.

Licensed in
NC, VA
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

5725 Oleander Dr
Wilmington, NC 28403-4745
Phone: (910) 313-2111
Fax: (910) 313-2119
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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 8363 (NC)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 2202004182 (VA)

Record details

NPI number1265753966
Entity typeIndividual (Type 1)
GenderFemale
Credentials MEDCCC-SLP
Sole proprietorYes
NPI enumeratedJune 16, 2010
Last updated in NPPESJune 16, 2010

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