Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417268228 Individual Practitioner Female Practitioner

Stacy M Soda , MS, CCC-SLP

Speech-Language Pathologist • Marathon, NY

Professional Overview & Biography Verified Profile Summary

Stacy Soda, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Marathon, NY. Practice services are available at 24 ALBRO ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

24 Albro Road

Marathon, NY 138030339

Telephone 6078494702
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Marathon, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Marathon, NY (25106 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

CMS Verified: 2024-05-09
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 019301

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
019301 (NY)

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated May 09, 2024

Recorded as STACY SODA, MS, CCC-SLP

NPI Profile Active June 25, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2010

Registered at 24 ALBRO ROAD, MARATHON, NY 138030339 (Tel: 6078494702)

📍
Updated Business Mailing Address June 25, 2010

Registered at PO BOX 339, MARATHON, NY 138030339 (Tel: 6078494702)

👤
Provider Name / Credentials Updated June 25, 2010

Recorded as STACY SHIRLEY, MS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2010

Speech-Language Pathologist (License #019301 in NY)

🟢
Initial NPI Registration & Enumeration June 25, 2010

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: 1417268228
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2010
Last Update: May 09, 2024
Sole Proprietor: No

Mailing Address

Po Box 339

Marathon, NY 138030339

Phone: 6078493235

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.