Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457949422 Individual Practitioner Female Practitioner

Greta Fishback , MS, CCC-SLP

Speech-Language Pathologist • Canton, GA

Professional Overview & Biography Verified Profile Summary

Greta Fishback, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Canton, GA. Practice services are available at 115 ACADEMY ST STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

115 Academy St Ste 102

Canton, GA 301143008

Telephone 4044441521
Associated Practice Facility / Clinic
🏢 Simplicity Therapy Group Inc Facility NPI 1134749336

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Canton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
41 Specialists

Practicing in Canton, GA (4796 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: 2024-08-03
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP008665

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

5 Associated Practitioners
Dr. Aspen Rich , OTD

Occupational Therapist

NPI 1023938255

Doctor of Occupational Therapy

Katelyn Martino , CCC-MED SLP

Speech-Language Pathologist

NPI 1063900710

CCCMEDSLP

Raeannah Hutson , CCC-SLP

Speech-Language Pathologist

NPI 1376378885

Speech-Language Pathologist (Certificate of Clinical Competence)

Brooke Apple

Speech-Language Pathologist

NPI 1770427460
Amy Laviola , MED

Speech-Language Pathologist

NPI 1891065397

Master of Education

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 03, 2024

Registered at 115 ACADEMY ST STE 102, CANTON, GA 301143008 (Tel: 4044441521)

📍
Updated Business Mailing Address August 03, 2024

Registered at 115 ACADEMY ST STE 102, CANTON, GA 301143008 (Tel: 4044441521)

👤
Provider Name / Credentials Updated March 13, 2024

Recorded as GRETA FISHBACK, MS, CCC-SLP

NPI Profile Active January 05, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 05, 2021

Registered at 690 MIAMI CIR NE STE 680, ATLANTA, GA 303243015 (Tel: 7703026902)

📍
Updated Business Mailing Address January 05, 2021

Registered at 690 MIAMI CIR NE STE 680, ATLANTA, GA 303243015 (Tel: 7703026902)

👤
Provider Name / Credentials Updated January 05, 2021

Recorded as GRETA ABBOTT, MS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2021

Speech-Language Pathologist (License #SLP008665 in GA)

🟢
Initial NPI Registration & Enumeration January 05, 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: 1457949422
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2021
Last Update: August 03, 2024
Sole Proprietor: No

Mailing Address

115 Academy St Ste 102

Canton, GA 301143008

Phone: 4044441521

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.