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Active NPI 1316217805 Individual Practitioner Female Practitioner

Susan Deanne Kelley , MA, CCC-SLP

Speech-Language Pathologist • Bryan, TX

Professional Overview & Biography Verified Profile Summary

Susan Kelley, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Bryan, TX. Practice services are available at 4091 EASTCHESTER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4091 Eastchester Dr

Bryan, TX 778024735

Telephone 2283267133
Fax 9797765096
Associated Practice Facility / Clinic
🏢 Bryan Snf, Llc Facility NPI 1841509015

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Bryan, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
47 Specialists

Practicing in Bryan, TX (17210 Statewide)

Telehealth Adoption Rate
2.1% 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 104778

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

Commercial Insurance / Payer ID Asha Certification Number
01030667
Commercial Insurance / Payer ID License To Practice
104778 (TX)

Practice Associates & Co-Workers

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

10 Associated Practitioners
Megan Swint

Physical Therapist

NPI 1104478684
Hillary James , MED, CCC-SLP

Speech-Language Pathologist

NPI 1144558933

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

Courtney Holmes , OTR, L

Occupational Therapist

NPI 1295160919

Occupational Therapist Registered, L

Jennifer Walton

Occupational Therapist

NPI 1376812495
Heather Alphord

Physical Therapy Assistant

NPI 1407153596
Jane Colbert

Speech-Language Pathologist

NPI 1558655944

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2013

Registered at 4091 EASTCHESTER DR, BRYAN, TX 778024735 (Tel: 2283267133)

📍
Updated Business Mailing Address July 09, 2013

Registered at 800 MARION PUGH DR, APT 901, COLLEGE STATION, TX 778402746 (Tel: 2283267133)

👤
Provider Name / Credentials Updated July 09, 2013

Recorded as SUSAN KELLEY, M.A., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2013

Speech-Language Pathologist (License #104778 in TX)

🟢
Initial NPI Registration & Enumeration December 30, 2011

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: 1316217805
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 30, 2011
Last Update: July 09, 2013
Sole Proprietor: Yes

Mailing Address

800 Marion Pugh Dr, Apt 901

College Station, TX 778402746

Phone: 2283267133

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.