Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760864078 Individual Practitioner Female Practitioner

Alycia Canavan , MA, CCC-SLP

Speech-Language Pathologist • Springfield, OR

Professional Overview & Biography Verified Profile Summary

Alycia Canavan, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Springfield, OR. Practice services are available at 1126 GATEWAY LOOP STE 112 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1126 Gateway Loop Ste 112

Springfield, OR 974777723

Telephone 5413712782
Fax 5418047695
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Springfield, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
11 Specialists

Practicing in Springfield, OR (2106 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 OR 15420

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.

Occupational Therapist

NUCC Taxonomy Code: 225X00000X

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500689312 (OR)

Practice Associates & Co-Workers

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

4 Associated Practitioners
Katherine Domagala , MS, CCC-SLP

Speech-Language Pathologist

NPI 1124401740

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

Diana Michna , CCC-SLP

Speech-Language Pathologist

NPI 1568075109

Speech-Language Pathologist (Certificate of Clinical Competence)

Elise Johnston

Speech-Language Pathologist

NPI 1881180230
Joanna Mari Guhit , MS, CCC-SLP

Speech-Language Pathologist

NPI 1902314883

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

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 02, 2018

Registered at 1126 GATEWAY LOOP STE 112, SPRINGFIELD, OR 974777723 (Tel: 5413712782)

📍
Updated Business Mailing Address October 02, 2018

Registered at 1126 GATEWAY LOOP STE 112, SPRINGFIELD, OR 974777723 (Tel: 5413712782)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2018

Occupational Therapist

NPI Profile Active June 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2015

Registered at 3575 DONALD ST, SUITE 610, EUGENE, OR 974054753 (Tel: 5413712782)

📍
Updated Business Mailing Address June 23, 2015

Registered at 3575 DONALD ST, SUITE 610, EUGENE, OR 974054753 (Tel: 5413712782)

👤
Provider Name / Credentials Updated June 23, 2015

Recorded as ALYCIA CANAVAN, M.A., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2015

Speech-Language Pathologist (License #15420 in OR)

🟢
Initial NPI Registration & Enumeration June 23, 2015

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: 1760864078
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2015
Last Update: October 02, 2018
Sole Proprietor: No

Mailing Address

1126 Gateway Loop Ste 112

Springfield, OR 974777723

Phone: 5413712782

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.