Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407384472 Individual Practitioner Female Practitioner

Stacie Wendel Roberson , SLP

Speech-Language Pathologist • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Stacie Roberson, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Jackson, MS. Practice services are available at 1417 LELIA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1417 Lelia Dr

Jackson, MS 392164721

Telephone 6019827827
Fax 6019820080
Associated Practice Facility / Clinic
🏢 New Learning Resources, Inc. Facility NPI 1174043806

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.7 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
130 Specialists

Practicing in Jackson, MS (1519 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 MS S4008

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

12 Associated Practitioners
NPI 1083270110

Master of Education, Board Certified Behavior Analyst, Licensed Behavior Analyst

Artesia Richmond

Behavior Technician

NPI 1104475854
Shelby Ziemke

Behavior Technician

NPI 1184273278
Belmont Boswell

Behavior Technician

NPI 1194382770
Shukundala Smith

Behavior Technician

NPI 1346807773
Danny Olmi

Psychologist - Clinical Child & Adolescent

NPI 1386285765

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 02, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2017

Registered at 1417 LELIA DR, JACKSON, MS 392164721 (Tel: 6019827827)

📍
Updated Business Mailing Address June 02, 2017

Registered at 613 WINTERIDGE PL, RIDGELAND, MS 391574144 (Tel: 6017201878)

👤
Provider Name / Credentials Updated June 02, 2017

Recorded as STACIE ROBERSON, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2017

Speech-Language Pathologist (License #S4008 in MS)

🟢
Initial NPI Registration & Enumeration June 02, 2017

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: 1407384472
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2017
Last Update: June 02, 2017
Sole Proprietor: Yes

Mailing Address

613 Winteridge Pl

Ridgeland, MS 391574144

Phone: 6017201878

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.