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Active NPI 1669132213 Individual Practitioner Female Practitioner

Mimi Park , MS, CCC-SLP

Speech-Language Pathologist • Menlo Park, CA

Professional Overview & Biography Verified Profile Summary

Mimi Park, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Menlo Park, CA. Practice services are available at 648 MENLO AVE STE 8 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

648 Menlo Ave Ste 8

Menlo Park, CA 940254713

Telephone 6507149459
Associated Practice Facility / Clinic
🏢 Menlo Speech Pathology Inc. Facility NPI 1871331421

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Menlo Park, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
31 Specialists

Practicing in Menlo Park, 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: 2021-12-22
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 19011

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 22, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location December 22, 2021

Registered at 648 MENLO AVE STE 8, MENLO PARK, CA 940254713 (Tel: 6507149459)

📍
Updated Business Mailing Address December 22, 2021

Registered at 648 MENLO AVE STE 8, MENLO PARK, CA 940254713 (Tel: 6507149459)

👤
Provider Name / Credentials Updated December 22, 2021

Recorded as MIMI PARK, MS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2021

Speech-Language Pathologist (License #19011 in CA)

🟢
Initial NPI Registration & Enumeration December 22, 2021

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: 1669132213
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 22, 2021
Last Update: December 22, 2021
Sole Proprietor: Yes

Mailing Address

648 Menlo Ave Ste 8

Menlo Park, CA 940254713

Phone: 6507149459

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.