Individual
STACY PELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
720 E 8TH ST STE 3, HOLLAND, MI 49423-3079
(616) 300-5495
Mailing address
2880 WILSON AVE SW, GRANDVILLE, MI 49418-1221
(616) 300-5495
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004428
MI
Other
Enumeration date
10/19/2018
Last updated
08/06/2026
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