Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336519685 Individual Practitioner Female Practitioner

Heather Bolan

Speech-Language Pathologist • Portage, IN

Professional Overview & Biography Verified Profile Summary

Heather Bolan is a registered healthcare professional specializing in Speech-Language Pathologist in Portage, IN. Practice services are available at 3630 WILLOWCREEK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3630 Willowcreek Rd

Portage, IN 463685075

Telephone 2193643000
Associated Practice Facility / Clinic
🏢 Porter Health Services Facility NPI 1558322982

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Portage, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Portage, IN (3038 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 IN 46002738A

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

2 Associated Practitioners
Jed Leifson

Nurse Anesthetist, Certified Registered

NPI 1396383881
Dr. Michael Bermudez , MD

Emergency Medicine

NPI 1649213554

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 29, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 29, 2015

Registered at 3630 WILLOWCREEK RD, PORTAGE, IN 463685075 (Tel: 2193643000)

📍
Updated Business Mailing Address September 29, 2015

Registered at 9460 W OAKRIDGE DR, SAINT JOHN, IN 463739212

👤
Provider Name / Credentials Updated September 29, 2015

Recorded as HEATHER BOLAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2015

Speech-Language Pathologist (License #46002738A in IN)

🟢
Initial NPI Registration & Enumeration September 29, 2015

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: 1336519685
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2015
Last Update: September 29, 2015
Sole Proprietor: No

Mailing Address

9460 W Oakridge Dr

Saint John, IN 463739212

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.