NPI age
2 years
Enumerated 2023-11-27
● Active Type 2 · Organization
Stacey Busboom Speech Therapy Llc
Stacey Busboom Speech Therapy Llc is 1 of 133 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Busboom
Speech-Language Pathologist
Last NPPES update
2023-11-27
Source: monthly bulk 2026-05
How this organization compares
Across 133 active clinic/center providers in Georgia.
NPI age
2 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-11Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
4535 Chandler Ct
Monroe, GA 306563688
Mailing address
4535 Chandler Ct
Monroe, GA 306563688
Authorized official
Stacey Ann Busboom, CCC-SLP
Speech-Language Pathologist
📞 7706250029
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Stacey Busboom, ED.S., CCC-SLP Speech-Language Pathologist NPI 1295971612
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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