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Active NPI 1275792764 Individual Practitioner Female Practitioner

Susan Kay Petty , SPEECH THERAPIST

Speech-Language Pathologist • Decatur, IL

Professional Overview & Biography Verified Profile Summary

Susan Petty, SPEECH THERAPIST is a registered healthcare professional specializing in Speech-Language Pathologist in Decatur, IL. Practice services are available at 2715 N 27TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2715 N 27th St

Decatur, IL 625262126

Telephone 2174291052
Associated Practice Facility / Clinic
🏢 Macon Resources, Inc. Facility NPI 1265589246

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Decatur, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
54 Specialists

Practicing in Decatur, 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IL 146.000518

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

8 Associated Practitioners
Colleen Beavers , MA, CCC, SLP

Speech-Language Pathologist

NPI 1013100437

Master of Arts, Certificate of Clinical Competence, Speech-Language Pathologist

Jennifer Raleigh

Speech-Language Pathologist

NPI 1033315486
Laura Moma , MA, CCC-SLP

Speech-Language Pathologist

NPI 1528513884

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

Natalie Mccarthy

Speech-Language Pathologist

NPI 1679895114
Tracy Barding , MS, CCC-SLP, L

Speech-Language Pathologist

NPI 1699934695

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

Deborah Trump , MS - SLP

Speech-Language Pathologist

NPI 1710184403

MSSLP

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 09, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 09, 2008

Registered at 2715 N 27TH ST, DECATUR, IL 625262126 (Tel: 2174291052)

📍
Updated Business Mailing Address June 09, 2008

Registered at 2715 N 27TH ST, DECATUR, IL 625262126 (Tel: 2174291052)

👤
Provider Name / Credentials Updated June 09, 2008

Recorded as SUSAN PETTY, SPEECH THERAPIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2008

Speech-Language Pathologist (License #146.000518 in IL)

🟢
Initial NPI Registration & Enumeration June 09, 2008

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: 1275792764
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2008
Last Update: June 09, 2008
Sole Proprietor: Yes

Mailing Address

2715 N 27th St

Decatur, IL 625262126

Phone: 2174291052

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.