Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073782876 Individual Practitioner Female Practitioner

Emily Irene Poliseo , MA CCC SLP

Speech-Language Pathologist • Glendale, CO

Professional Overview & Biography Verified Profile Summary

Emily Poliseo, MA CCC SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Glendale, CO. Practice services are available at 4812 E KENTUCKY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4812 E Kentucky Ave
Unit F

Glendale, CO 802462201

Telephone 7203184615
Associated Practice Facility / Clinic
🏢 Proactive Pediatrics, Llc Facility NPI 1346639507

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Glendale, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
12 Specialists

Practicing in Glendale, CO (4289 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 CO 12136614

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

Medicaid State Provider ID
96606223 (CO)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Jacob Deslongchamps , MS, CCC-SLP

Speech-Language Pathologist

NPI 1821864075

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

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 26, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 26, 2008

Registered at 4812 E KENTUCKY AVE, UNIT F, GLENDALE, CO 802462201 (Tel: 7203184615)

📍
Updated Business Mailing Address February 26, 2008

Registered at 4812 EAST KENTUCKY AVENUE, UNIT F, GLENDALE, CO 80246 (Tel: 7203184615)

👤
Provider Name / Credentials Updated February 26, 2008

Recorded as EMILY POLISEO, MA CCC SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2008

Speech-Language Pathologist (License #12136614 in CO)

🟢
Initial NPI Registration & Enumeration February 26, 2008

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: 1073782876
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2008
Last Update: February 26, 2008
Sole Proprietor: Yes

Mailing Address

4812 East Kentucky Avenue, Unit F

Glendale, CO 80246

Phone: 7203184615

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.