| Doctor Name: | MRS. STACEY DIANE STEWART |
| NPI Number: | 1477634384 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSCCC SLP |
| License Number: | 3341 |
| Business Practice Address: | 301 Wolverine Trl Suite 201 Smyrna, TN - 371675656 |
| Business Phone Number: | 6152205796 |
| Business Fax Number: | 6152208829 |
| Mailing Address: | 1541 Factors Walk, MURFREESBORO |
| State: | TN |
| Postal Code: | 371280703 |
| Phone Number: | 6154187705 |
| Fax Number: | |
| NPI Enumeration Date: | 10/18/2006 |
| NPI Last Update Date: | 06/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 3341 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| 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 |