Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134342876 Individual Practitioner Male Practitioner

David Peter Shepard , MA, CCC-SLP

Speech-Language Pathologist • Watertown, NY

Professional Overview & Biography Verified Profile Summary

David Shepard, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Watertown, NY. Practice services are available at 420 GAFFNEY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

420 Gaffney Dr

Watertown, NY 136011823

Telephone 3157882730
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Watertown, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
51 Specialists

Practicing in Watertown, 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 013490-1

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

27 Associated Practitioners
Madison Derouin , MS, OTR, L

Occupational Therapist

NPI 1063394443

Master of Science, Occupational Therapist Registered, L

Jennifer Brink , MS PT

Physical Therapist

NPI 1083764864

Master of Science in Physical Therapy

Jennifer Rutledge , OTR, L

Occupational Therapist

NPI 1144537382

Occupational Therapist Registered, L

Hope Koster , PT

Physical Therapist

NPI 1184729931

Physical Therapist

Nichol Macgregor

Speech-Language Pathologist

NPI 1225251515
Sherri Allen-Woods , MS, OTR, L

Early Intervention Provider Agency

NPI 1235412891

Master of Science, Occupational Therapist Registered, L

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 420 GAFFNEY DR, WATERTOWN, NY 136011823 (Tel: 3157882730)

📍
Updated Business Mailing Address July 08, 2007

Registered at 420 GAFFNEY DR, WATERTOWN, NY 136011823 (Tel: 3157882730)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID SHEPARD, M.A., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #013490-1 in NY)

🟢
Initial NPI Registration & Enumeration April 11, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1134342876
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

420 Gaffney Dr

Watertown, NY 136011823

Phone: 3157882730

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.