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

Individual provider Speech-Language Pathologist · NPI 1417101791

Stacie Lee Dimezza, CCC-SLP is a Speech-Language Pathologist in Glens Falls, 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?
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

28 Monument Ave
Glens Falls, NY 12801-2213
Phone: (518) 743-9941
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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 010030-1 (NY)

Record details

NPI number1417101791
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedNovember 12, 2008
Last updated in NPPESNovember 12, 2008

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