Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063930774 Individual Practitioner Female Practitioner

Kayla Dalene Waterman , MS, CCC-SLP

Speech-Language Pathologist • O Fallon, IL

Professional Overview & Biography Verified Profile Summary

Kayla Waterman, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in O Fallon, IL. Practice services are available at 1010 MOYE SCHOOL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1010 Moye School Rd

O Fallon, IL 622696841

Telephone 6182062300

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in O Fallon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
67 Specialists

Practicing in O Fallon, 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 146.012672

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

1 Associated Practitioners
Angie Dolosic

Psychologist - School

NPI 1043809825

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 01, 2017

Registered at 1010 MOYE SCHOOL RD, O FALLON, IL 622696841 (Tel: 6182062300)

📍
Updated Business Mailing Address September 01, 2017

Registered at 928 JORDAN, O FALLON, IL 622696849 (Tel: 6184441750)

👤
Provider Name / Credentials Updated September 01, 2017

Recorded as KAYLA WATERMAN, MS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2017

Speech-Language Pathologist (License #146.012672 in IL)

🟢
Initial NPI Registration & Enumeration September 01, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1063930774
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2017
Last Update: September 01, 2017
Sole Proprietor: Yes

Mailing Address

928 Jordan

O Fallon, IL 622696849

Phone: 6184441750

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.