Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407419674 Individual Practitioner Female Practitioner

Mary Katherine Soderstrom , MS CCC-SLP

Speech-Language Pathologist • Natchez, MS

Professional Overview & Biography Verified Profile Summary

Mary Soderstrom, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Natchez, MS. Practice services are available at 54 SGT PRENTISS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

54 Sgt Prentiss Dr

Natchez, MS 39120

Telephone 6014432100
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Natchez, MS

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

Practicing in Natchez, 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NC 13449

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

830 Bethany Church Rd

Forest City, NC 280438106

Phone: 8282455164

830 Bethany Church Rd

Forest City, NC 280438106

Phone: 8282455164

830 Bethany Church Rd

Forest City, NC 280438106

Phone: 8282455164

54 Sgt Prentiss Dr

Natchez, MS 391204726

Phone: 6014432100

Practice Associates & Co-Workers

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

10 Associated Practitioners
Paul Smith , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043211642

Certified Registered Nurse Anesthetist

Arthur Person , CRNA

Nurse Anesthetist, Certified Registered

NPI 1053305029

Certified Registered Nurse Anesthetist

Brynna Burnsed , PA

Physician Assistant

NPI 1053695668

Physician Assistant

Lisa Wilson , CRNA

Nurse Anesthetist, Certified Registered

NPI 1134113087

Certified Registered Nurse Anesthetist

NPI 1205092525

Doctor of Medicine (M.D.)

Leslie Thompson , LCSW

Social Worker - Clinical

NPI 1265637789

Licensed Clinical Social Worker

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 03, 2019

Registered at 54 SGT PRENTISS DR, NATCHEZ, MS 39120 (Tel: 6014432100)

📍
Updated Business Mailing Address June 03, 2019

Registered at 54 SGT PRENTISS DR, NATCHEZ, MS 391204726

NPI Profile Active April 15, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2019

Registered at 830 BETHANY CHURCH RD, FOREST CITY, NC 280438106 (Tel: 8282455164)

📍
Updated Business Mailing Address April 15, 2019

Registered at 830 BETHANY CHURCH RD, FOREST CITY, NC 280438106 (Tel: 8282455164)

👤
Provider Name / Credentials Updated April 15, 2019

Recorded as MARY SODERSTROM, MS CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2019

Speech-Language Pathologist (License #13449 in NC)

🟢
Initial NPI Registration & Enumeration April 15, 2019

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: 1407419674
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2019
Last Update: June 03, 2019
Sole Proprietor: No

Mailing Address

54 Sgt Prentiss Dr

Natchez, MS 391204726

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.