IndividualActive
Andrea Lacey
NPI 1174123202 · Speech-Language Pathologist · Puyallup, WA
Provider details
- NPI number
- 1174123202
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1162520 (NJ)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17615 85th Avenue Ct E
Puyallup, WA 98375-1902
Phone: (253) 216-2589
Street-level locationGet directions
Mailing address
17615 85th Avenue Ct E
Puyallup, WA 98375-1902
Additional practice locations (2)
- 1 Bethany Rd Ste 60Hazlet, NJ 07730-1667Phone: (732) 888-3912Fax: (732) 888-3916
- 120 E River RdRumson, NJ 07760-1631Phone: (732) 888-3912Fax: (732) 888-3916
Registry dates
- Enumerated
- 2020-10-28
- Last updated
- 2024-04-12
- Certified
- 2024-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.