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

Individual provider Speech-Language Pathologist · NPI 1205267226

Staci Pennybaker, MA is a Speech-Language Pathologist in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina and South Carolina.

Licensed in
NC, SC
In the registry since
2013
Specialties on file
3
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

3315 Springbank Ln Ste 206
Charlotte, NC 28226-3198
Phone: (704) 847-0186
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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 5330 (SC)
Speech-Language Pathologist Taxonomy 235Z00000X
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 10626 (NC)

Record details

NPI number1205267226
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorYes
NPI enumeratedDecember 1, 2013
Last updated in NPPESSeptember 28, 2025
Certification dateSeptember 28, 2025

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