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

Individual provider Speech-Language Pathologist · NPI 1376657114

Stacey Wallen, PHD, CCC-SLP is a Speech-Language Pathologist in Lithonia, Georgia. Practices as a sole proprietor. Licensed in Florida and Georgia.

Licensed in
FL, GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
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

3201 Rockport Dr
Lithonia, GA 30038-1834
Phone: (954) 415-4069
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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 SLP006932 (GA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SA5662 (FL)

Record details

NPI number1376657114
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , CCC-SLP
Sole proprietorYes
NPI enumeratedAugust 18, 2006
Last updated in NPPESApril 8, 2014

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