MRS. Stacy Lynne Pettinger, MA,CCC-SLP

NPI #1578823449 in Sycamore, Illinois

Provider Information

NPI Number
1578823449
Entity Type
Individual
Name
MRS. Stacy Lynne Pettinger, MA,CCC-SLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
MA,CCC-SLP
Enumeration Date
May 24, 2012
Last Updated
May 24, 2012

Practice Location

Address
1715 DEKALB AVE
Address 2
SUITE 125
ZIP Code
60178-2736
Phone
(815) 991-5760

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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