Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124649082 Individual Practitioner Female Practitioner

Tracey Michelle Dobusch , MS, CCC-SLP

Speech-Language Pathologist • Lakeport, CA

Professional Overview & Biography Verified Profile Summary

Tracey Dobusch, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Lakeport, CA. Practice services are available at 150 LANGE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

150 Lange St

Lakeport, CA 954533297

Telephone 7072623019
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Lakeport, CA

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

Practicing in Lakeport, 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: 2020-05-01
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA SP9688

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 Speech Pathology License
SP9688 (CA)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 01, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2020

Registered at 150 LANGE ST, LAKEPORT, CA 954533297 (Tel: 7072623019)

📍
Updated Business Mailing Address May 01, 2020

Registered at 7155 KELSEY CREEK DR, KELSEYVILLE, CA 954518024

👤
Provider Name / Credentials Updated May 01, 2020

Recorded as TRACEY DOBUSCH, MS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2020

Speech-Language Pathologist (License #SP9688 in CA)

🟢
Initial NPI Registration & Enumeration May 01, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Tracey Dobusch. Be the first to share your experience!

Sign in to leave a review for Tracey Dobusch

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1124649082
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2020
Last Update: May 01, 2020
Sole Proprietor: Yes

Mailing Address

7155 Kelsey Creek Dr

Kelseyville, CA 954518024

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.