# STACEY J. MCCONACHIE, PEDIATRIC SPEECH THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013159417
- **Authorized official:** STACEY J MCCONACHIE M.A. CCC-SLP (OWNER)
- **Authorized official phone:** (218) 791-5286

## Contact information

- **Practice address:** 11096 W 55TH LN, ARVADA, CO 80002-4906
- **Practice address phone:** (218) 791-5286
- **Mailing address:** 11096 W 55TH LN, ARVADA, CO 80002-4906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 12094774 | NULL | Yes |

## Other

- **Enumeration date:** 03/31/2009
- **Last updated:** 03/31/2009