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Active NPI 1134621220 Individual Practitioner Female Practitioner

Maureen O'doherty Di Vincenzo , MS CCC-SLP

Speech-Language Pathologist • Coppell, TX

Professional Overview & Biography Verified Profile Summary

Maureen Di Vincenzo, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Coppell, TX. Practice services are available at 428 WELLINGTON RD under active NPI credentials.

Frequently performed procedures and clinical services include treatment of speech, language, voice, communication, and/or hearing processing disorder, evaluation of speech sound production with evaluation of language comprehension and expression. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

428 Wellington Rd

Coppell, TX 750196705

Telephone 5417710163

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Coppell, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
45 Specialists

Practicing in Coppell, TX (17210 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
7.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92507 Treatment of speech, language, voice, communication, and/or hearing processing disorder
156 14 $81.47 $75.55

Medical Specialties & State Licenses

CMS Verified: 2024-08-12
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License VA 2202009125

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

12 Historical Events
📍
Updated Practice Location August 12, 2024

Registered at 428 WELLINGTON RD, COPPELL, TX 750196705 (Tel: 5417710163)

📍
Updated Business Mailing Address August 12, 2024

Registered at 820 S MACARTHUR BLVD STE 105-149, COPPELL, TX 750194216 (Tel: 7037186603)

📍
Updated Practice Location December 06, 2021

Registered at 1796 DUFFIELD LN, ALEXANDRIA, VA 223071171 (Tel: 5417710163)

📍
Updated Business Mailing Address December 06, 2021

Registered at 1796 DUFFIELD LN, ALEXANDRIA, VA 223071171 (Tel: 5417710163)

👤
Provider Name / Credentials Updated December 06, 2021

Recorded as MAUREEN DI VINCENZO, MS CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2021

Speech-Language Pathologist (License #2202009125 in VA)

NPI Profile Active March 05, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 05, 2018

Registered at 4451 PARLIAMENT PL STE A, LANHAM, MD 207061868 (Tel: 3015774333)

📍
Updated Business Mailing Address March 05, 2018

Registered at 4451 PARLIAMENT PL STE A, LANHAM, MD 207061868 (Tel: 3015774333)

👤
Provider Name / Credentials Updated March 05, 2018

Recorded as MAUREEN O'DOHERTY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2018

Specialist/Technologist (License #00152A in MD)

🟢
Initial NPI Registration & Enumeration March 05, 2018

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: 1134621220
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2018
Last Update: August 12, 2024
Sole Proprietor: No

Mailing Address

820 S Macarthur Blvd Ste 105-149

Coppell, TX 750194216

Phone: 7037186603

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.