Stacie Alysia Hirsch, M.A., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · MC Donald, TN
NPI 1902009657 · NPPES record last updated Jan 17, 2024
Key facts
- NPI
- 1902009657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1697 (TN)
- Practice address
- 399 Tallant Rd
MC Donald, TN 37353-5511 - Phone
- (865) 386-5970
- NPI assigned
- Jun 8, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1697 | TN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enhanced Therapy Solutions Professional LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Parent-Child Services Group, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1697 | TN | Yes |
Addresses
Primary practice location
399 Tallant Rd
MC Donald, TN 37353-5511
Mailing address
399 Tallant Rd
MC Donald, TN 37353-5511
Phone (865) 386-5970
Other providers in MC Donald, TN
- Lana Marie Elliott
- Enhanced Therapy Solutions Professional LLC
- Dianne Fae Fillman
- Edward Fox
- Lisamarie Heldzinger
- Mackenzie Jones
- Natalya Kusmiy-Sanders
- Karlene Pamela Mullins
- Redi-Med Plus
- Katriel Marie Rogers
All providers in MC Donald, TN · Speech-Language Pathologist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.