Provider Demographics
NPI:1346139417
Name:PARSONS, STACEY TOMMI
Entity type:Individual
Prefix:
First Name:STACEY
Middle Name:TOMMI
Last Name:PARSONS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1117 S DOUGLAS BLVD STE F
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-5265
Mailing Address - Country:US
Mailing Address - Phone:405-259-9478
Mailing Address - Fax:
Practice Address - Street 1:1117 S DOUGLAS BLVD STE F
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-5265
Practice Address - Country:US
Practice Address - Phone:405-259-9478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKSLPA2692355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant