Active NPI 1093065682 Individual Practitioner Female Practitioner

Tabetha Nicole Mathiesen , MS CCC-SLP

Speech-Language Pathologist • Crescent, OK

Professional Overview & Biography Verified Profile Summary

Tabetha Mathiesen, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Crescent, OK. Practice services are available at 205 E CIMARRON BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

205 E Cimarron Blvd

Crescent, OK 730289296

Telephone 4057957110

Associated Practice Facility / Clinic

🏢 Wholistic Therapy Llc Facility NPI 1457740888

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Crescent, OK

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 15.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Crescent, 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 3775

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

6 Historical Events

✅

NPI Profile Active July 11, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location July 11, 2013

Registered at 205 E CIMARRON BLVD, CRESCENT, OK 730289296 (Tel: 4057957110)

📍

Updated Business Mailing Address July 11, 2013

Registered at 205 E CIMARRON BLVD, CRESCENT, OK 730289296 (Tel: 4057957110)

👤

Provider Name / Credentials Updated July 11, 2013

Recorded as TABETHA MATHIESEN, MS CCC-SLP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2013

Speech-Language Pathologist (License #3775 in OK)

🟢

Initial NPI Registration & Enumeration September 11, 2012

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: 1093065682

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 11, 2012

Last Update: July 11, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

205 E Cimarron Blvd

Crescent, OK 730289296

Phone: 4057957110

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.