Active NPI 1922239532 Individual Practitioner Female Practitioner

Stacey Bullock , SLP

Speech-Language Pathologist • Kennesaw, GA

Professional Overview & Biography Verified Profile Summary

Stacey Bullock, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Kennesaw, GA. Practice services are available at 5150 STILESBORO RD NW STE 410 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5150 Stilesboro Rd Nw Ste 410

Kennesaw, GA 301527759

Telephone 7702182300

Associated Practice Facility / Clinic

🏢 The Pediatric Therapy Clinic, Inc. Facility NPI 1275773152

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Kennesaw, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 12.7 Yrs

State Avg: 14.3 Yrs

Regional Practice Density

73 Specialists

Practicing in Kennesaw, GA (4796 Statewide)

Telehealth Adoption Rate

1.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP006129

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners

Patricia Phillips , SLP

Speech-Language Pathologist

NPI 1023326758

Speech-Language Pathologist

Kathryn Keel , OTR, L

Occupational Therapist

NPI 1083911994

Occupational Therapist Registered, L

Elizabeth Poulsen

Occupational Therapist

NPI 1104250661

Donna Schulman , OTR, L

Occupational Therapist - Pediatrics

NPI 1174763056

Occupational Therapist Registered, L

Hartley Turman

Physical Therapist

NPI 1285038802

Ragena Mcdonald , OTR, L

Occupational Therapist

NPI 1336476902

Occupational Therapist Registered, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 30, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location July 30, 2009

Registered at 5150 STILESBORO RD NW STE 410, KENNESAW, GA 301527759 (Tel: 7702182300)

📍

Updated Business Mailing Address July 30, 2009

Registered at 5731 STONEKIRK WALK NW, ACWORTH, GA 301016920 (Tel: 7709758369)

👤

Provider Name / Credentials Updated July 30, 2009

Recorded as STACEY BULLOCK, SLP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2009

Speech-Language Pathologist (License #SLP006129 in GA)

🟢

Initial NPI Registration & Enumeration July 30, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1922239532

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 30, 2009

Last Update: July 30, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5731 Stonekirk Walk Nw

Acworth, GA 301016920

Phone: 7709758369

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.