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Active NPI 1427784230 Individual Practitioner Female Practitioner

Leslie Bloomer , CCC-SLP

Speech-Language Pathologist • College Station, TX

Professional Overview & Biography Verified Profile Summary

Leslie Bloomer, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in College Station, TX. Practice services are available at 1812 WELSH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1812 Welsh Ave

College Station, TX 778404800

Telephone 9797645433
Associated Practice Facility / Clinic
🏢 College Station Isd Facility NPI 1447393376

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in College Station, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.2 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
51 Specialists

Practicing in College Station, TX (17210 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

CMS Verified: 2022-11-28
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 109038

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 Texas Speech Language Pathology License
109038 (TX)
Commercial Insurance / Payer ID American Speech Language Hearing Association
14059287

Practice Associates & Co-Workers

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

1 Associated Practitioners
Christa Konderla , MA, CCC-SLP

Speech-Language Pathologist

NPI 1952070989

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

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 26, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 26, 2022

Registered at 1812 WELSH AVE, COLLEGE STATION, TX 778404800 (Tel: 9797645433)

📍
Updated Business Mailing Address July 26, 2022

Registered at 1812 WELSH AVE, COLLEGE STATION, TX 778404800 (Tel: 9797645433)

👤
Provider Name / Credentials Updated July 26, 2022

Recorded as LESLIE BLOOMER, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2022

Speech-Language Pathologist (License #109038 in TX)

🟢
Initial NPI Registration & Enumeration July 26, 2022

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: 1427784230
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2022
Last Update: November 28, 2022
Sole Proprietor: Yes

Mailing Address

1812 Welsh Ave

College Station, TX 778404800

Phone: 9797645433

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.