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Active NPI 1962815431 Individual Practitioner Female Practitioner

Samantha Wallace , MS CCC-SLP

Speech-Language Pathologist • Beverly, MA

Professional Overview & Biography Verified Profile Summary

Samantha Wallace, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Beverly, MA. Practice services are available at 100 CUMMINGS CTR under active NPI credentials.

Frequently performed procedures and clinical services include treatment of speech, language, voice, communication, and/or hearing processing disorder. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Cummings Ctr
Ste 135-H

Beverly, MA 019156115

Telephone 9789270172
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Beverly, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.5 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
125 Specialists

Practicing in Beverly, MA (4034 Statewide)

Telehealth Adoption Rate
0.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
37.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92507 Treatment of speech, language, voice, communication, and/or hearing processing disorder
115 20 $125.14 $78.74

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MA 9193

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

40 Associated Practitioners
Jamie Selvidio , MS, CCC-SLP

Speech-Language Pathologist

NPI 1013108497

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Elissa Nelson

Behavior Technician

NPI 1013716141
Johanna Aylward

Speech-Language Pathologist

NPI 1033915053
Jessica Davis

Behavior Technician

NPI 1043016074
Meghan Ward , MS SLP

Speech-Language Pathologist

NPI 1043052798

MSSLP

Melissa Acevedo

Behavior Technician

NPI 1083411128

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 29, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2016

Registered at 100 CUMMINGS CTR, STE 135-H, BEVERLY, MA 019156115 (Tel: 9789270172)

📍
Updated Business Mailing Address June 29, 2016

Registered at 100 CUMMINGS CTR, STE 135-H, BEVERLY, MA 019156115

👤
Provider Name / Credentials Updated June 29, 2016

Recorded as SAMANTHA WALLACE, M.S. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2016

Speech-Language Pathologist (License #9193 in MA)

🟢
Initial NPI Registration & Enumeration June 03, 2014

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: 1962815431
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2014
Last Update: June 29, 2016
Sole Proprietor: No

Mailing Address

100 Cummings Ctr, Ste 135-H

Beverly, MA 019156115

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.