Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194583666 Individual Practitioner Female Practitioner

Leslie Suzanne Detota , CCC-SLP

Speech-Language Pathologist • Warner Robins, GA

Professional Overview & Biography Verified Profile Summary

Leslie Detota, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Warner Robins, GA. Practice services are available at 200 S KIMBERLY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200 S Kimberly Rd

Warner Robins, GA 310888721

Telephone 4782934900
Associated Practice Facility / Clinic
🏢 Summers Retirement, Llc Facility NPI 1629458963

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Warner Robins, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
46 Specialists

Practicing in Warner Robins, 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: 2024-03-09
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP003705

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

1 Associated Practitioners
Michele Cayado , APRN, NP-C

Registered Nurse - General Practice

NPI 1841724101

Advanced Practice Registered Nurse, Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 11, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location March 11, 2024

Registered at 200 S KIMBERLY RD, WARNER ROBINS, GA 310888721 (Tel: 4782934900)

📍
Updated Business Mailing Address March 11, 2024

Registered at 117 STEEPLECHASE RUN, WARNER ROBINS, GA 310882627 (Tel: 4789579003)

👤
Provider Name / Credentials Updated March 11, 2024

Recorded as LESLIE DETOTA, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2024

Speech-Language Pathologist (License #SLP003705 in GA)

🟢
Initial NPI Registration & Enumeration March 11, 2024

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: 1194583666
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 11, 2024
Last Update: March 11, 2024
Sole Proprietor: No

Mailing Address

117 Steeplechase Run

Warner Robins, GA 310882627

Phone: 4789579003

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.