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

Individual provider Speech-Language Pathologist · NPI 1619273463

Stacy Johnson, MS, CCC-SLP is a Speech-Language Pathologist in Pasadena, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011
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

424 N Lake Ave Ste 302
Pasadena, CA 91101-1200
Phone: (626) 793-9444
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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 18545 (CA)

Record details

NPI number1619273463
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedJanuary 26, 2011
Last updated in NPPESJanuary 26, 2011
Mailing address1159 Linden Ave, Apt 6, Glendale, CA 91201-1569

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