Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164795704 Individual Practitioner Female Practitioner

Kimberly Renee Wilson , CCC-SLP

Speech-Language Pathologist • Glenside, PA

Professional Overview & Biography Verified Profile Summary

Kimberly Wilson, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Glenside, PA. Practice services are available at 107 S KESWICK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

107 S Keswick Ave

Glenside, PA 190384509

Telephone 2673121443

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Glenside, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
16 Specialists

Practicing in Glenside, PA (7216 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

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 February 13, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 13, 2012

Registered at 107 S KESWICK AVE, GLENSIDE, PA 190384509 (Tel: 2673121443)

📍
Updated Business Mailing Address February 13, 2012

Registered at 107 S KESWICK AVE, GLENSIDE, PA 190384509 (Tel: 2673121443)

👤
Provider Name / Credentials Updated February 13, 2012

Recorded as KIMBERLY WILSON, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2012

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration February 13, 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: 1164795704
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2012
Last Update: February 13, 2012
Sole Proprietor: No

Mailing Address

107 S Keswick Ave

Glenside, PA 190384509

Phone: 2673121443

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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