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

Individual provider Speech-Language Pathologist · NPI 1639323413

Stacey Kidder, MS, CCC-SLP is a Speech-Language Pathologist in Groton, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
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

110 Sykes St
Groton, NY 13073-1231
Phone: (607) 543-0162
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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 008449-1 (NY)

Record details

NPI number1639323413
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedNovember 6, 2008
Last updated in NPPESNovember 6, 2008

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