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Active NPI 1487395208 Individual Practitioner Male Practitioner

Michael Eric Prentice , CCC-SLP

Speech-Language Pathologist • Corte Madera, CA

Professional Overview & Biography Verified Profile Summary

Michael Prentice, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Corte Madera, CA. Practice services are available at 645 TAMALPAIS DR STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

645 Tamalpais Dr Ste B

Corte Madera, CA 949251613

Telephone 4159242444
Associated Practice Facility / Clinic
🏢 Speech Therapy Marin Facility NPI 1205338332

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Corte Madera, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
17 Specialists

Practicing in Corte Madera, CA (13280 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

CMS Verified: 2022-04-05
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 16601

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Marissa Meltzer , MA

Speech-Language Pathologist

NPI 1083116412

Master of Arts

Jennifer Fredenburg , MS, CCC-SLP

Speech-Language Pathologist

NPI 1093321366

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Emily Fortner

Speech-Language Pathologist

NPI 1295559771
Melanie Hendrickson

Speech-Language Pathologist

NPI 1336928209
Sara Dolan

Speech-Language Pathologist

NPI 1346856218
Lauren Coomber

Speech-Language Pathologist

NPI 1346897998

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 05, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2022

Registered at 645 TAMALPAIS DR STE B, CORTE MADERA, CA 949251613 (Tel: 4159242444)

📍
Updated Business Mailing Address April 05, 2022

Registered at 53 MARINA LAKES DR, RICHMOND, CA 948047448 (Tel: 5103726671)

👤
Provider Name / Credentials Updated April 05, 2022

Recorded as MICHAEL PRENTICE, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2022

Speech-Language Pathologist (License #16601 in CA)

🟢
Initial NPI Registration & Enumeration April 05, 2022

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: 1487395208
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2022
Last Update: April 05, 2022
Sole Proprietor: No

Mailing Address

53 Marina Lakes Dr

Richmond, CA 948047448

Phone: 5103726671

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.