Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750469722 Individual Practitioner Female Practitioner

Mitzi Davis Booth , MS, CCC-SLP

Speech-Language Pathologist • Broken Arrow, OK

Professional Overview & Biography Verified Profile Summary

Mitzi Booth, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Broken Arrow, OK. Practice services are available at 2208 W DETROIT ST STE 202 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2208 W Detroit St Ste 202

Broken Arrow, OK 740123642

Telephone 9188060106
Fax 9188060113
Associated Practice Facility / Clinic
🏢 Home Therapy Resources, Inc. Facility NPI 1265515647

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Broken Arrow, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.8 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
155 Specialists

Practicing in Broken Arrow, OK (2489 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 OK 3142

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
Y200061310A (OK)

Practice Associates & Co-Workers

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

28 Associated Practitioners
Maecie Hunt , OTR, L

Occupational Therapist

NPI 1003405143

Occupational Therapist Registered, L

Emily Wallace

Speech-Language Pathologist

NPI 1003700444
Brooklyn Moore

Occupational Therapist

NPI 1063105831
Christa Mcallister , SLP

Speech-Language Pathologist

NPI 1083712848

Speech-Language Pathologist

Keli Pieratt , MS, CCC-SLP

Speech-Language Pathologist

NPI 1205323151

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Autumn Perry , PTA

Physical Therapy Assistant

NPI 1275208720

Physical Therapist Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 19, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2010

Registered at 2208 W DETROIT ST STE 202, BROKEN ARROW, OK 740123642 (Tel: 9188060106)

📍
Updated Business Mailing Address May 19, 2010

Registered at 15845 E 77TH ST N, OWASSO, OK 740557092 (Tel: 9182725209)

👤
Provider Name / Credentials Updated May 19, 2010

Recorded as MITZI BOOTH, MS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2010

Speech-Language Pathologist (License #3142 in OK)

🟢
Initial NPI Registration & Enumeration November 01, 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: 1750469722
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2006
Last Update: May 19, 2010
Sole Proprietor: No

Mailing Address

15845 E 77th St N

Owasso, OK 740557092

Phone: 9182725209

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.