Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740634799 Individual Practitioner Female Practitioner

Lisa Phung , SLP

Speech-Language Pathologist • Wallingford, CT

Professional Overview & Biography Verified Profile Summary

Lisa Phung, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Wallingford, CT. Practice services are available at 300 CHURCH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

300 Church St
Unit 102

Wallingford, CT 064922253

Telephone 2034100974
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Wallingford, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
50 Specialists

Practicing in Wallingford, CT (1653 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 CT 4021

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 Tax Id
462195986 (CT)

Practice Associates & Co-Workers

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

8 Associated Practitioners
Lynn Lavalley , SLP

Speech-Language Pathologist

NPI 1245500529

Speech-Language Pathologist

Kerryann Scirocco

Speech-Language Pathologist

NPI 1336708668
Kathryn Karsky

Speech-Language Pathologist

NPI 1578392395
Lauren Holt

Speech-Language Pathologist

NPI 1679956478
Patricia Amodei , MS CCC-SLP

Speech-Language Pathologist

NPI 1710792148

MSCCCSLP

Sarah Obremski

Speech-Language Pathologist

NPI 1780034777

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2016

Registered at 300 CHURCH ST, UNIT 102, WALLINGFORD, CT 064922253 (Tel: 2034100974)

📍
Updated Business Mailing Address April 15, 2016

Registered at 300 CHURCH ST, UNIT 102, WALLINGFORD, CT 064922253 (Tel: 2034100974)

👤
Provider Name / Credentials Updated April 15, 2016

Recorded as LISA PHUNG, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2016

Speech-Language Pathologist (License #4021 in CT)

🟢
Initial NPI Registration & Enumeration April 15, 2016

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: 1740634799
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2016
Last Update: April 15, 2016
Sole Proprietor: No

Mailing Address

300 Church St, Unit 102

Wallingford, CT 064922253

Phone: 2034100974

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.