Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710202031 Individual Practitioner Female Practitioner

Mary E Ethridge

Speech-Language Pathologist • Carrollton, GA

Professional Overview & Biography Verified Profile Summary

Mary Ethridge is a registered healthcare professional specializing in Speech-Language Pathologist in Carrollton, GA. Practice services are available at 121B LEE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

121b Lee St

Carrollton, GA 301173314

Telephone 7708308622
Fax 7708329031
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Carrollton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.7 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
33 Specialists

Practicing in Carrollton, 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP007220

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, Language And Pathologist
SLP007220 (GA)

Practice Associates & Co-Workers

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

13 Associated Practitioners
Aleah Norton , MED

Speech-Language Pathologist

NPI 1003120569

Master of Education

Karen Chafin , SLP

Speech-Language Pathologist

NPI 1154629525

Speech-Language Pathologist

Amy Lanier , MASTERS IN SPEECH LA

Speech-Language Pathologist

NPI 1245369966

MASTERSINSPEECHLA

Ginger Harper , MED, CCC-SLP

Speech-Language Pathologist

NPI 1265506547

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

Lisa Eady , M ED CCC

Speech-Language Pathologist

NPI 1346574928

MEDCCC

Emily Leak , MED, CCC-SLP

Speech-Language Pathologist

NPI 1437223781

Master of Education, 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 March 30, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2010

Registered at 121B LEE ST, CARROLLTON, GA 301173314 (Tel: 7708308622)

📍
Updated Business Mailing Address March 30, 2010

Registered at 121B LEE ST, CARROLLTON, GA 301173314 (Tel: 7708308622)

👤
Provider Name / Credentials Updated March 30, 2010

Recorded as MARY ETHRIDGE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2010

Speech-Language Pathologist (License #SLP007220 in GA)

🟢
Initial NPI Registration & Enumeration March 30, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1710202031
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2010
Last Update: March 30, 2010
Sole Proprietor: No

Mailing Address

121b Lee St

Carrollton, GA 301173314

Phone: 7708308622

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.