Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265887608 Individual Practitioner Female Practitioner

Amanda Wilson

Speech-Language Pathologist • Saint Charles, MO

Professional Overview & Biography Verified Profile Summary

Amanda Wilson is a registered healthcare professional specializing in Speech-Language Pathologist in Saint Charles, MO. Practice services are available at 4031 SAN FERNANDO LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4031 San Fernando Ln

Saint Charles, MO 633042831

Telephone 6365842302

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Saint Charles, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 13.4 Yrs
Regional Practice Density
100 Specialists

Practicing in Saint Charles, MO (5112 Statewide)

Telehealth Adoption Rate
1.0% 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 2016009976

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.

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active March 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 10, 2017

Registered at 4031 SAN FERNANDO LN, SAINT CHARLES, MO 633042831 (Tel: 6365842302)

📍
Updated Business Mailing Address March 10, 2017

Registered at 4031 SAN FERNANDO LN, SAINT CHARLES, MO 633042831 (Tel: 6365842302)

👤
Provider Name / Credentials Updated March 10, 2017

Recorded as AMANDA WILSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2017

Speech-Language Pathologist (License #2016009976 in MO)

NPI Profile Active May 03, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 03, 2016

Registered at 4031 SAN FERNANDO LN, SAINT CHARLES, MO 633042831 (Tel: 6365842302)

📍
Updated Business Mailing Address May 03, 2016

Registered at 4031 SAN FERNANDO LN, SAINT CHARLES, MO 633042831 (Tel: 6365842302)

👤
Provider Name / Credentials Updated May 03, 2016

Recorded as AMANDA WILSOM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2016

Speech-Language Pathologist (License #2016009976 in MO)

🟢
Initial NPI Registration & Enumeration May 03, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1265887608
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2016
Last Update: March 10, 2017
Sole Proprietor: Yes

Mailing Address

4031 San Fernando Ln

Saint Charles, MO 633042831

Phone: 6365842302

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.