Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861235012 Individual Practitioner Female Practitioner

Te'ara Sharae Bouldin

Speech-Language Pathologist • Warner Robins, GA

Professional Overview & Biography Verified Profile Summary

Te'Ara Bouldin is a registered healthcare professional specializing in Speech-Language Pathologist in Warner Robins, GA. Practice services are available at 120 LATHAM DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

120 Latham Dr

Warner Robins, GA 310882146

Telephone 4788873141
Associated Practice Facility / Clinic
🏢 Canopy Wr Operations, Llc. Facility NPI 1184466211

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: 2024-06-18
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP013078

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
Jessica Sisa

Occupational Therapist

NPI 1124719513
Dr. Adrian Baker , DPT

Physical Therapist

NPI 1396077327

Doctor of Physical Therapy

NPI 1598573982

Physical Therapist, Doctor of Physical Therapy

Geneva Collins , PTA

Physical Therapy Assistant

NPI 1831835628

Physical Therapist Assistant

Emily Pope

Physical Therapy Assistant

NPI 1871376467

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 18, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 18, 2024

Registered at 120 LATHAM DR, WARNER ROBINS, GA 310882146 (Tel: 4788873141)

📍
Updated Business Mailing Address June 18, 2024

Registered at 9325 BLUE HOUSE RD APT 10303, LADSON, SC 294564228

👤
Provider Name / Credentials Updated June 18, 2024

Recorded as TE'ARA BOULDIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2024

Speech-Language Pathologist (License #SLP013078 in GA)

🟢
Initial NPI Registration & Enumeration June 17, 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: 1861235012
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2024
Last Update: June 18, 2024
Sole Proprietor: Yes

Mailing Address

9325 Blue House Rd Apt 10303

Ladson, SC 294564228

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.