Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740565274 Individual Practitioner Female Practitioner

Diane Elizabeth Kavanaugh , CCC-SLP

Speech-Language Pathologist • Ballston Spa, NY

Professional Overview & Biography Verified Profile Summary

Diane Kavanaugh, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Ballston Spa, NY. Practice services are available at 602 CINDY LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

602 Cindy Ln

Ballston Spa, NY 120203516

Telephone 5188855455

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Ballston Spa, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
33 Specialists

Practicing in Ballston Spa, NY (25106 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 NY 002858-1

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1730054222

Licensed Master Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 16, 2011

NPI status registered as active in NPPES database

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Updated Practice Location October 16, 2011

Registered at 602 CINDY LN, BALLSTON SPA, NY 120203516 (Tel: 5188855455)

📍
Updated Business Mailing Address October 16, 2011

Registered at 602 CINDY LN, BALLSTON SPA, NY 120203516 (Tel: 5188855455)

👤
Provider Name / Credentials Updated October 16, 2011

Recorded as DIANE KAVANAUGH, CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2011

Speech-Language Pathologist (License #002858-1 in NY)

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Initial NPI Registration & Enumeration October 16, 2011

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: 1740565274
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2011
Last Update: October 16, 2011
Sole Proprietor: Yes

Mailing Address

602 Cindy Ln

Ballston Spa, NY 120203516

Phone: 5188855455

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.