Stacy G. Goldstein, M. A., CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL-007997 Issued in PA

Practice address

114 Forrest Ave
Suite 200
Narberth, PA 19072-2218

Phone

(610) 668-0864

Fax

(866) 902-5169

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730399445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 FORREST AVE",
            "address_2": "SUITE 200",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190722218",
            "telephone_number": "610-668-0864",
            "fax_number": "866-902-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 FORREST AVE",
            "address_2": "SUITE 200",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190722218",
            "telephone_number": "610-668-0864",
            "fax_number": "866-902-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "STACY",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "credential": "M. A., CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL-007997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey S Gerland, DPM
• Milita Ghassemzadeh Borguet, D.M.D.
• Peter Goldenthal, PH.D.
• Laura Gessow Goldman, M.A., CCC-SLP
• Martin B. Goldstein, D.O.
• Stephanie C Gonzalez, OTR/L
• Simone Gorko, PSYD
• Cathy Ann Gray - Weglos, D.M.D.
• Gray Dental Inc.
• Catherine B. Gray

• Speech-Language Pathologist in Narberth, PA
• Providers in Narberth, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.