Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013246859 Individual Practitioner Female Practitioner

Stacey Cannon , SLP

Speech-Language Pathologist • Kerrville, TX

Professional Overview & Biography Verified Profile Summary

Stacey Cannon, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Kerrville, TX. Practice services are available at 327 EARL GARRETT ST STE 108 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

327 Earl Garrett St Ste 108

Kerrville, TX 780284500

Telephone 8303156400
Associated Practice Facility / Clinic
🏢 Cannon Speech Services Llc Facility NPI 1063095602

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Kerrville, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
36 Specialists

Practicing in Kerrville, 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: 2021-04-29
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 19829

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

Medicaid State Provider ID
149984001 (TX)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 30, 2021

Registered at 327 EARL GARRETT ST STE 108, KERRVILLE, TX 780284500 (Tel: 8303156400)

📍
Updated Business Mailing Address April 30, 2021

Registered at 327 EARL GARRETT ST STE 108, KERRVILLE, TX 780284500 (Tel: 8303156400)

NPI Profile Active December 15, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location December 15, 2009

Registered at 5316 TRAIL LAKE DR, FORT WORTH, TX 761331931 (Tel: 8174330721)

📍
Updated Business Mailing Address December 15, 2009

Registered at 2632 ROTHLAND LN, PLANO, TX 750231421

👤
Provider Name / Credentials Updated December 15, 2009

Recorded as STACEY CANNON, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2009

Speech-Language Pathologist (License #19829 in TX)

🟢
Initial NPI Registration & Enumeration December 07, 2009

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: 1013246859
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2009
Last Update: April 30, 2021
Sole Proprietor: No

Mailing Address

327 Earl Garrett St Ste 108

Kerrville, TX 780284500

Phone: 8303156400

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.