Provider Demographics
NPI:1952570459
Name:MACH, STACY SHEFFIELD (MS)
Entity Type:Individual
Prefix:
First Name:STACY
Middle Name:SHEFFIELD
Last Name:MACH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 WINTER ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:MA
Mailing Address - Zip Code:01773-3401
Mailing Address - Country:US
Mailing Address - Phone:978-287-7976
Mailing Address - Fax:
Practice Address - Street 1:15 WINTER ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:MA
Practice Address - Zip Code:01773-3401
Practice Address - Country:US
Practice Address - Phone:978-287-7976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3588235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist