| Doctor Name: | STACY L. COOPER LUCIDO |
| NPI Number: | 1245383983 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.ED. CCC-SLP |
| License Number: | 4438 |
| Business Practice Address: | 500 Cummings Ctr Suite 3850 Beverly, MA - 019156142 |
| Business Phone Number: | 9782320332 |
| Business Fax Number: | 9782321103 |
| Mailing Address: | 13 Sunset Dr, BEVERLY |
| State: | MA |
| Postal Code: | 019152319 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/18/2007 |
| NPI Last Update Date: | 07/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 4438 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |