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Active NPI 1114094463 Individual Practitioner Female Practitioner

Shelley Lea Bergman , MA, CCC-SLP

Speech-Language Pathologist • Hannibal, MO

Professional Overview & Biography Verified Profile Summary

Shelley Bergman, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Hannibal, MO. Practice services are available at 6000 HOSPITAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6000 Hospital Dr

Hannibal, MO 634016887

Telephone 5734065777
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Hannibal, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.4 Yrs
Regional Practice Density
18 Specialists

Practicing in Hannibal, MO (5112 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 MO HE114933

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

Medicaid State Provider ID
469804124 (MO)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Charleigh Koch , DPT

Physical Therapist

NPI 1255286571

Doctor of Physical Therapy

Alison Crist , MS, CCC-SLP

Speech-Language Pathologist

NPI 1871655399

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 November 13, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location November 13, 2013

Registered at 6000 HOSPITAL DR, HANNIBAL, MO 634016887 (Tel: 5734065777)

📍
Updated Business Mailing Address November 13, 2013

Registered at 215 S MEYER RD, QUINCY, IL 623058018 (Tel: 2172242487)

👤
Provider Name / Credentials Updated November 13, 2013

Recorded as SHELLEY BERGMAN, M.A.,CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2013

Speech-Language Pathologist (License #HE114933 in MO)

🟢
Initial NPI Registration & Enumeration November 30, 2006

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: 1114094463
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2006
Last Update: November 13, 2013
Sole Proprietor: Yes

Mailing Address

215 S Meyer Rd

Quincy, IL 623058018

Phone: 2172242487

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.