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Active NPI 1295207462 Individual Practitioner Female Practitioner

Kelly M Wilson , MA, CCC-SLP

Speech-Language Pathologist • Austin, TX

Professional Overview & Biography Verified Profile Summary

Kelly Wilson, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Austin, TX. Practice services are available at 11330 FARRAH under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11330 Farrah

Austin, TX 787481959

Telephone 5122802030

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.1 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
1103 Specialists

Practicing in Austin, TX (17210 Statewide)

Telehealth Adoption Rate
1.1% 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 TX 111168

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

9 Associated Practitioners
Javier Rodriguez

Occupational Therapist

NPI 1023827920
Madison Grinnell

Speech-Language Pathologist

NPI 1033843032
Yamileth Reyes

Occupational Therapy Assistant

NPI 1255174157
Jane Rogers

Physical Medicine & Rehabilitation

NPI 1356913925
Hylah Leatherwood , MS, CCC-SLP

Speech-Language Pathologist

NPI 1558572529

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

Dr. Yasmin El Murib , DPT

Physical Therapist

NPI 1699488452

Doctor of Physical Therapy

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 27, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location December 27, 2018

Registered at 11330 FARRAH, AUSTIN, TX 787481959 (Tel: 5122802030)

📍
Updated Business Mailing Address December 27, 2018

Registered at 9021 KIMONO RIDGE DR, AUSTIN, TX 787485338 (Tel: 5129050329)

👤
Provider Name / Credentials Updated December 27, 2018

Recorded as KELLY WILSON, M.A., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2018

Speech-Language Pathologist (License #111168 in TX)

🟢
Initial NPI Registration & Enumeration December 27, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1295207462
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 27, 2018
Last Update: December 27, 2018
Sole Proprietor: No

Mailing Address

9021 Kimono Ridge Dr

Austin, TX 787485338

Phone: 5129050329

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.