Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619239894 Individual Practitioner Female Practitioner

Angela Marie Watters , MS, CCC-SLP

Speech-Language Pathologist • Edwardsville, IL

Professional Overview & Biography Verified Profile Summary

Angela Watters, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Edwardsville, IL. Practice services are available at 2122 TROY RD STE 120 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2122 Troy Rd Ste 120

Edwardsville, IL 620252540

Telephone 6188004620
Associated Practice Facility / Clinic
🏢 Childrens Illinois Inc Facility NPI 1073283198

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Edwardsville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
41 Specialists

Practicing in Edwardsville, 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: 2023-04-24
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA11936

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

14 Associated Practitioners
Katherine Vierra , CCC-SLP

Speech-Language Pathologist

NPI 1093688202

Speech-Language Pathologist (Certificate of Clinical Competence)

Dr. Colleen Chapman , DPT

Physical Therapist - Orthopedic

NPI 1144638461

Doctor of Physical Therapy

Andrea Mohr

Speech-Language Pathologist

NPI 1174297550
Dr. Lauren Cobb , DPT

Physical Therapist - Pediatrics

NPI 1285566448

Doctor of Physical Therapy

Dr. Madeleine Mcquality , PT, DPT

Physical Therapist - Pediatrics

NPI 1376214718

Physical Therapist, Doctor of Physical Therapy

Dr. Aimee Savoie , DPT

Physical Therapist

NPI 1407504152

Doctor of Physical Therapy

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 24, 2023

Registered at 2122 TROY RD STE 120, EDWARDSVILLE, IL 620252540 (Tel: 6188004620)

📍
Updated Business Mailing Address April 24, 2023

Registered at 2122 TROY RD STE 120, EDWARDSVILLE, IL 620252540 (Tel: 6188004620)

NPI Profile Active November 05, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 05, 2012

Registered at 9803 OLD SAINT AUGUSTINE RD, SUITE 7, JACKSONVILLE, FL 322578854 (Tel: 9048809001)

📍
Updated Business Mailing Address November 05, 2012

Registered at 13035 SUNSET LAKE DR, JACKSONVILLE, FL 322588440 (Tel: 6189716202)

👤
Provider Name / Credentials Updated November 05, 2012

Recorded as ANGELA WATTERS, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2012

Speech-Language Pathologist (License #SA11936 in FL)

🟢
Initial NPI Registration & Enumeration June 13, 2012

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: 1619239894
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2012
Last Update: April 24, 2023
Sole Proprietor: Yes

Mailing Address

2122 Troy Rd Ste 120

Edwardsville, IL 620252540

Phone: 6188004620

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.