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Deactivated NPI 1134490196 Deactivated / Inactive NPI Female Practitioner

Tera Lynn Dozier Walters , MS, CCC-SLP

Speech-Language Pathologist • Lucedale, MS

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Tera Lynn Walters has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 23, 2012
NPI Deactivation Date November 18, 2024
Total Practice Duration ~12 Years of Practice (2012 – 2024)

Professional Overview & Biography Verified Profile Summary

Tera Lynn Walters, MS, CCC-SLP was a registered Speech-Language Pathologist practicing in Lucedale, MS. Throughout an active medical career spanning 12 years, Tera Lynn Walters provided care at the practice location at 110 AMBER LN until profile deactivation on 2024-11-18.

Practice Location & Contact Primary Location

Practice Address

110 Amber Ln

Lucedale, MS 394528623

Telephone 2516809686
Associated Practice Facility / Clinic
🏢 Tera Walters Therapy Llc Facility NPI 1801367107

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Lucedale, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Lucedale, MS (1519 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

CMS Verified: 2025-02-27
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AL 3432

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License MS S4993

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.

Secondary Practice Locations

9993 Lifeline Ct

Mobile, AL 366088527

Phone: 2516809686

Career & Practice History Timeline

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

11 Historical Events
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Updated Practice Location February 27, 2025

Registered at 110 AMBER LN, LUCEDALE, MS 394528623 (Tel: 2516809686)

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Updated Business Mailing Address February 27, 2025

Registered at 148 RIDGE HILL DR, LUCEDALE, MS 394522838 (Tel: 2516809686)

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Provider Name / Credentials Updated February 27, 2025

Recorded as TERA LYNN WALTERS, M.S., CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2025

Speech-Language Pathologist (License #S4993 in MS)

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NPI Profile Deactivated November 18, 2024

Record deactivated on November 18, 2024

NPI Profile Active January 23, 2012

NPI status registered as active in NPPES database

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Updated Practice Location January 23, 2012

Registered at 9031 BRYN MAWR CIR, FORT SMITH, AR 729088918 (Tel: 2516809686)

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Updated Business Mailing Address January 23, 2012

Registered at 9031 BRYN MAWR CIR, FORT SMITH, AR 729088918 (Tel: 2516809686)

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Provider Name / Credentials Updated January 23, 2012

Recorded as TERA LYNN WALTERS, M.S., CFY-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2012

Speech-Language Pathologist (License #SP#P8489 in AR)

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Initial NPI Registration & Enumeration January 23, 2012

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: 1134490196
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2012
Last Update: February 27, 2025
Deactivation Date: November 18, 2024
Sole Proprietor: Yes

Mailing Address

148 Ridge Hill Dr

Lucedale, MS 394522838

Phone: 2516809686

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.