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

Individual provider Speech-Language Pathologist · NPI 1902453699

Stacia Maillis, MA, CCC-SLP is a Speech-Language Pathologist in Garden City, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
What do these letters mean?
MA — Master of Arts
A graduate arts 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

520 Franklin Ave Ste L6E
Garden City, NY 11530-5813
Phone: (516) 477-5192
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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 029858 (NY)

Record details

NPI number1902453699
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedAugust 19, 2019
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025

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