Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104804574 Individual Practitioner Female Practitioner

Laticia Peck , SLP

Speech-Language Pathologist • Grayson, GA

Professional Overview & Biography Verified Profile Summary

Laticia Peck, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Grayson, GA. Practice services are available at 1165 PINE LAKE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1165 Pine Lake Dr

Grayson, GA 300177926

Telephone 6788524022
Fax 7709725577

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Grayson, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
12 Specialists

Practicing in Grayson, 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 SLP005865

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
371442378F (GA)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 28, 2009

NPI status registered as active in NPPES database

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Updated Practice Location April 28, 2009

Registered at 1165 PINE LAKE DR, GRAYSON, GA 300177926 (Tel: 6788524022)

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Updated Business Mailing Address April 28, 2009

Registered at 1165 PINE LAKE DR, GRAYSON, GA 300177926

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Provider Name / Credentials Updated April 28, 2009

Recorded as LATICIA PECK, SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2009

Speech-Language Pathologist (License #SLP005865 in GA)

🟢
Initial NPI Registration & Enumeration January 05, 2006

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: 1104804574
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2006
Last Update: April 28, 2009
Sole Proprietor: Yes

Mailing Address

1165 Pine Lake Dr

Grayson, GA 300177926

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.