Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831697465 Individual Practitioner Female Practitioner

Megan Ann Grissom-Dubenco , MS, CCC-SLP

Speech-Language Pathologist • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Megan Grissom-Dubenco, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Bloomington, IL. Practice services are available at 473 W ARMY TRAIL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

473 W Army Trail Rd

Bloomington, IL 601082674

Telephone 2245208562
Fax 2153181772
Associated Practice Facility / Clinic
🏢 Midwest Speech Therapy, Pc Facility NPI 1154780740

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
62 Specialists

Practicing in Bloomington, IL (10321 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: 2022-11-18
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IL 146014880

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License NV SP-2076

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.

Secondary Practice Locations

7425 W Azure Dr Ste 140

Las Vegas, NV 891304425

Phone: 7025154009

Practice Associates & Co-Workers

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

19 Associated Practitioners
Samantha Aron

Speech-Language Pathologist

NPI 1023689213
Chloe Maghinang , MS, CCC-SLP

Speech-Language Pathologist

NPI 1033000872

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

Marie Partipilo , SLP

Speech-Language Pathologist

NPI 1063079119

Speech-Language Pathologist

Rachel Bieker

Speech-Language Pathologist

NPI 1124691001
Tori Hemp

Speech-Language Pathologist

NPI 1154202224
Rachel Wulfsohn , MS, OTR, L

Occupational Therapist

NPI 1154872844

Master of Science, Occupational Therapist Registered, L

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location November 18, 2022

Registered at 473 W ARMY TRAIL RD, BLOOMINGTON, IL 601082674 (Tel: 2245208562)

📍
Updated Business Mailing Address November 18, 2022

Registered at 473 W ARMY TRAIL RD, SUITE 107, BLOOMINGTON, IL 601082674 (Tel: 2245208562)

👤
Provider Name / Credentials Updated November 18, 2022

Recorded as MEGAN GRISSOM-DUBENCO, M.S., CCC-SLP

NPI Profile Active January 29, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 29, 2018

Registered at 2560 MONTESSOURI ST STE 113, LAS VEGAS, NV 891173063 (Tel: 7026863008)

📍
Updated Business Mailing Address January 29, 2018

Registered at 8986 OREANA PEAK CT, LAS VEGAS, NV 891481386

👤
Provider Name / Credentials Updated January 29, 2018

Recorded as MEGAN GRISSOM, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2018

Speech-Language Pathologist (License #SP-2076 in NV)

🟢
Initial NPI Registration & Enumeration January 29, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1831697465
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2018
Last Update: November 18, 2022
Sole Proprietor: No

Mailing Address

473 W Army Trail Rd, Suite 107

Bloomington, IL 601082674

Phone: 2245208562

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.