Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104144336 Individual Practitioner Female Practitioner

Miranda Wynn Bullock-Davidson , MS, CFY-SLP

Speech-Language Pathologist • Lexington, KY

Professional Overview & Biography Verified Profile Summary

Miranda Bullock-Davidson, MS, CFY-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Lexington, KY. Practice services are available at 1001 MONARCH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1001 Monarch St
Ste. 110

Lexington, KY 405131495

Telephone 8592240834
Associated Practice Facility / Clinic
🏢 Lde, Md, Pllc Facility NPI 1841308764

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Lexington, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
303 Specialists

Practicing in Lexington, KY (2945 Statewide)

Telehealth Adoption Rate
0.3% 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 KY 10-027

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

27 Associated Practitioners
Gina Terorde , MS CCC-SLP

Speech-Language Pathologist

NPI 1043709629

MSCCCSLP

April Pence , OT, L

Occupational Therapist - Pediatrics

NPI 1083941751

Occupational Therapist, L

Ashley Wilson

Occupational Therapist

NPI 1265914311
Joyce Peet , OT

Occupational Therapist

NPI 1285668129

Occupational Therapist

Darian Mitchell

Behavior Analyst

NPI 1336998103
Melissa Tabor

Occupational Therapist

NPI 1366785057

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 12, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location May 12, 2010

Registered at 1001 MONARCH ST, STE. 110, LEXINGTON, KY 405131495 (Tel: 8592240834)

📍
Updated Business Mailing Address May 12, 2010

Registered at 1001 MONARCH ST, STE. 110, LEXINGTON, KY 405131495 (Tel: 8592240834)

👤
Provider Name / Credentials Updated May 12, 2010

Recorded as MIRANDA BULLOCK-DAVIDSON, M.S., CFY-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2010

Speech-Language Pathologist (License #10-027 in KY)

🟢
Initial NPI Registration & Enumeration May 12, 2010

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: 1104144336
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2010
Last Update: May 12, 2010
Sole Proprietor: No

Mailing Address

1001 Monarch St, Ste. 110

Lexington, KY 405131495

Phone: 8592240834

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.