Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962710962 Individual Practitioner Female Practitioner

Shirley Jane Goetze , CCC, SLP

Speech-Language Pathologist • Kilgore, TX

Professional Overview & Biography Verified Profile Summary

Shirley Goetze, CCC, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Kilgore, TX. Practice services are available at 1200 DUDLEY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1200 Dudley Rd

Kilgore, TX 756623306

Telephone 9039845571
Associated Practice Facility / Clinic
🏢 East Texas Treatment Center Facility NPI 1023002425

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Kilgore, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Kilgore, 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 17553

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 Speech, Language Pathology License
17553 (TX)

Practice Associates & Co-Workers

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

4 Associated Practitioners
Cynthia Kulak , PT

Physical Therapist

NPI 1063502888

Physical Therapist

Jessica Davis , OTR, MOT

Occupational Therapist

NPI 1437801149

Occupational Therapist Registered, Master of Occupational Therapy

Dr. Jill Holland , MD

Emergency Medicine

NPI 1548246374

Doctor of Medicine (M.D.)

Carol Lambert , OTR

Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

NPI 1871622050

Occupational Therapist Registered

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 24, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2010

Registered at 1200 DUDLEY RD, KILGORE, TX 756623306 (Tel: 9039845571)

📍
Updated Business Mailing Address September 24, 2010

Registered at 15693 COUNTY ROAD 373, GLADEWATER, TX 756479160 (Tel: 9038773709)

👤
Provider Name / Credentials Updated September 24, 2010

Recorded as SHIRLEY GOETZE, CCC/SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2010

Speech-Language Pathologist (License #17553 in TX)

🟢
Initial NPI Registration & Enumeration September 24, 2010

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: 1962710962
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2010
Last Update: September 24, 2010
Sole Proprietor: Yes

Mailing Address

15693 County Road 373

Gladewater, TX 756479160

Phone: 9038773709

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.