Provider Demographics
NPI:1073025110
Name:NEPVEUX, STACEY LEANN (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:STACEY
Middle Name:LEANN
Last Name:NEPVEUX
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1424 RED DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-3429
Mailing Address - Country:US
Mailing Address - Phone:214-783-1221
Mailing Address - Fax:
Practice Address - Street 1:9711 BIRDSNEST CT
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-5394
Practice Address - Country:US
Practice Address - Phone:214-783-1221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-30
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103383235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist