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Active NPI 1578823449 Individual Practitioner Female Practitioner

Stacy Lynne Pettinger , MA, CCC-SLP

Speech-Language Pathologist • Sycamore, IL

Professional Overview & Biography Verified Profile Summary

Stacy Pettinger, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Sycamore, IL. Practice services are available at 1715 DEKALB AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1715 Dekalb Ave
Suite 125

Sycamore, IL 601782736

Telephone 8159915760

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Sycamore, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
34 Specialists

Practicing in Sycamore, IL (10321 Statewide)

Telehealth Adoption Rate
0.0% 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 IL 146.006059

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

11 Associated Practitioners
Hannah Miller

Occupational Therapist - Pediatrics

NPI 1083311377
Theresa Cervantes , PTA

Community Health Worker

NPI 1124307137

Physical Therapist Assistant

Nicole Meyers

Occupational Therapist

NPI 1174177646
Stephanie Meyn , MOT, OTR, L, LMT

Occupational Therapist - Pediatrics

NPI 1588349849

Master of Occupational Therapy, Occupational Therapist Registered, L, Licensed Massage Therapist

Lindsay Nelson , MA

Speech-Language Pathologist

NPI 1629962030

Master of Arts

Melissa Emma , COTA, L

Occupational Therapy Assistant

NPI 1649849506

Certified Occupational Therapy Assistant, L

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 24, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 24, 2012

Registered at 1715 DEKALB AVE, SUITE 125, SYCAMORE, IL 601782736 (Tel: 8159915760)

📍
Updated Business Mailing Address May 24, 2012

Registered at 1825 JC KELLOG ST, SYCAMORE, IL 601788782 (Tel: 8158950002)

👤
Provider Name / Credentials Updated May 24, 2012

Recorded as STACY PETTINGER, MA,CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2012

Speech-Language Pathologist (License #146.006059 in IL)

🟢
Initial NPI Registration & Enumeration May 24, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578823449
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2012
Last Update: May 24, 2012
Sole Proprietor: No

Mailing Address

1825 Jc Kellog St

Sycamore, IL 601788782

Phone: 8158950002

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.