Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1467915827 Deactivated / Inactive NPI Female Practitioner

Stacy Lee Seabolt , MS CCC-SLP

Speech-Language Pathologist • Bridgeport, WV

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Stacy Seabolt has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 11, 2019
NPI Deactivation Date October 25, 2019
Total Practice Duration ~1 Years of Practice (2019 – 2019)

Professional Overview & Biography Verified Profile Summary

Stacy Seabolt, MS CCC-SLP was a registered Speech-Language Pathologist practicing in Bridgeport, WV. Throughout an active medical career spanning 1 years, Stacy Seabolt provided care at the practice location at 415 BENEDUM DR until profile deactivation on 2019-10-25.

Practice Location & Contact Primary Location

Practice Address

415 Benedum Dr

Bridgeport, WV 263301503

Telephone 3048429887
Fax 3048429888
Associated Practice Facility / Clinic
🏢 Wv Therapy Services Llc Facility NPI 1063692333

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Bridgeport, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.9 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
54 Specialists

Practicing in Bridgeport, WV (1413 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 VA 2202006625

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

32 Associated Practitioners
Emily Devereux , OT

Occupational Therapist

NPI 1013213370

Occupational Therapist

Robin Raleigh , MOTR, L

Occupational Therapist

NPI 1043563919
Gregory Roberson

Physical Therapist

NPI 1124682406
Leon Hastings , MOT, L

Skilled Nursing Facility

NPI 1144569583

Master of Occupational Therapy, L

Gwendolyn Masterman , MOTR, L

Occupational Therapist

NPI 1194905620
Sara Johnson , SLP

Speech-Language Pathologist

NPI 1235528340

Speech-Language Pathologist

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated October 25, 2019

Record deactivated on October 25, 2019

NPI Profile Active April 11, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 11, 2019

Registered at 415 BENEDUM DR, BRIDGEPORT, WV 263301503 (Tel: 3048429887)

📍
Updated Business Mailing Address April 11, 2019

Registered at 415 BENEDUM DR, BRIDGEPORT, WV 263301503 (Tel: 3048429887)

👤
Provider Name / Credentials Updated April 11, 2019

Recorded as STACY SEABOLT, M.S. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2019

Speech-Language Pathologist (License #2202006625 in VA)

🟢
Initial NPI Registration & Enumeration April 11, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Stacy Seabolt. Be the first to share your experience!

Sign in to leave a review for Stacy Seabolt

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1467915827
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2019
Last Update: April 11, 2019
Deactivation Date: October 25, 2019

Mailing Address

415 Benedum Dr

Bridgeport, WV 263301503

Phone: 3048429887

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.