Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306967682 Individual Practitioner Male Practitioner

Michael William Gauvin Smith , MS, CCC-SLP

Speech-Language Pathologist • Waltham, MA

Professional Overview & Biography Verified Profile Summary

Michael Smith, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Waltham, MA. Practice services are available at 30 PIEDMONT AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

30 Piedmont Ave

Waltham, MA 024513013

Telephone 7813670841

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Waltham, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.3 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
120 Specialists

Practicing in Waltham, MA (4034 Statewide)

Telehealth Adoption Rate
0.8% 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 MA 12020466

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross And Blue Shiel
5731 (MA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Allison Baker , MS, CCC-SLP

Speech-Language Pathologist

NPI 1962632133

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

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 17, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 17, 2007

Registered at 30 PIEDMONT AVE, WALTHAM, MA 024513013 (Tel: 7813670841)

📍
Updated Business Mailing Address July 17, 2007

Registered at 30 PIEDMONT AVE, WALTHAM, MA 024513013 (Tel: 7813670841)

👤
Provider Name / Credentials Updated July 17, 2007

Recorded as MICHAEL SMITH, MS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2007

Speech-Language Pathologist (License #12020466 in MA)

🟢
Initial NPI Registration & Enumeration April 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1306967682
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2007
Last Update: July 17, 2007
Sole Proprietor: Yes

Mailing Address

30 Piedmont Ave

Waltham, MA 024513013

Phone: 7813670841

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.