Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972228732 Individual Practitioner Female Practitioner

Melissa Park

Speech-Language Pathologist • Normal, IL

Professional Overview & Biography Verified Profile Summary

Melissa Park is a registered healthcare professional specializing in Speech-Language Pathologist in Normal, IL. Practice services are available at 810 PHAETON PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

810 Phaeton Pl

Normal, IL 617614836

Telephone 8474014024

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Normal, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
47 Specialists

Practicing in Normal, 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: 2022-08-18
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IL 146014250

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

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 04, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 04, 2022

Registered at 810 PHAETON PL, NORMAL, IL 617614836 (Tel: 8474014024)

📍
Updated Business Mailing Address October 04, 2022

Registered at 810 PHAETON PL, NORMAL, IL 617614836 (Tel: 8474014024)

👤
Provider Name / Credentials Updated October 04, 2022

Recorded as MELISSA PARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2022

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration October 04, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1972228732
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2022
Last Update: October 04, 2022
Sole Proprietor: Yes

Mailing Address

810 Phaeton Pl

Normal, IL 617614836

Phone: 8474014024

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.