Provider Demographics
NPI:1972759652
Name:COX, STACEY ALEXANDER (SLP)
Entity type:Individual
Prefix:MRS
First Name:STACEY
Middle Name:ALEXANDER
Last Name:COX
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 W MARKHAM ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72201-1306
Mailing Address - Country:US
Mailing Address - Phone:501-447-6942
Mailing Address - Fax:501-447-6100
Practice Address - Street 1:4901 WESTERN HILLS AVE
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-8426
Practice Address - Country:US
Practice Address - Phone:501-447-6942
Practice Address - Fax:501-447-6901
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#982235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist