Lisa Michelle Cassidy Stultz, MS CCCSLP
NPI 1568651107ActiveIndividual· Speech-Language Pathologist· Avon, IN
Speech-Language Pathologist (MS CCCSLP) with Legacy Healthcare Services Inc and 1 other group, practicing in Avon, Indiana. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1568651107 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS CCCSLP |
| Sole proprietor | No |
| NPI issued | Oct 19, 2007 |
| Last updated in NPPES | Dec 6, 2022 |
| Certified by provider | Dec 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 22004181A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (IN) |
|---|
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical groups
- Legacy Healthcare Services IncGreenville, SC · 3,223 clinicians
- Empowerme Rehabilitation Illinois LLCSpringboro, OH · 354 clinicians
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