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

Individual provider Speech-Language Pathologist · NPI 1689898371

Stacy Leidholt, MA, CCC-SLP is a Speech-Language Pathologist in Coon Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
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

300 Coon Rapids Blvd NW Ste 200
Coon Rapids, MN 55433-5645
Phone: (763) 767-0854
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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 7946 (MN)

Record details

NPI number1689898371
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedApril 12, 2007
Last updated in NPPESJuly 8, 2007

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