Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962596429 Individual Practitioner Female Practitioner

Shannon Cormier , MS, CCC-SLP

Speech-Language Pathologist • Conway, AR

Professional Overview & Biography Verified Profile Summary

Shannon Cormier, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Conway, AR. Practice services are available at 4403 MALLARD LANE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4403 Mallard Lane

Conway, AR 72034

Telephone 5018048770

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Conway, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.1 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
190 Specialists

Practicing in Conway, AR (3707 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AR SP#1908

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License None 12027998

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield
5X227 (AR)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 4403 MALLARD LANE, CONWAY, AR 72034 (Tel: 5018048770)

📍
Updated Business Mailing Address July 09, 2007

Registered at 4403 MALLARD LANE, CONWAY, AR 72034

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as SHANNON CORMIER, M.S., CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Speech-Language Pathologist (License #SP#1908 in AR)

🟢
Initial NPI Registration & Enumeration October 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962596429
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2006
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

4403 Mallard Lane

Conway, AR 72034

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.