Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992170724 Individual Practitioner Female Practitioner

Stephanie Wise , MA, CCC-SLP

Speech-Language Pathologist • Lakeway, TX

Professional Overview & Biography Verified Profile Summary

Stephanie Wise, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Lakeway, TX. Practice services are available at 1202 LAKEWAY DR STE 6A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1202 Lakeway Dr Ste 6a

Lakeway, TX 787344481

Telephone 5122613584
Associated Practice Facility / Clinic
🏢 Mindy L Granberry Pllc Facility NPI 1851632509

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Lakeway, TX

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

Practicing in Lakeway, 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 110366

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.

Practice Associates & Co-Workers

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

8 Associated Practitioners
Carrie Comstock , OTR

Occupational Therapist

NPI 1396109351

Occupational Therapist Registered

Michele Reeder , MA CCC-SLP

Speech-Language Pathologist

NPI 1538475306

MACCCSLP

Johann Salas , OTR

Occupational Therapist

NPI 1588411250

Occupational Therapist Registered

Mindy Granberry , MA, CCC-SLP

Speech-Language Pathologist

NPI 1639317860

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

Angela Havens , MS, PT

Physical Therapist - Pediatrics

NPI 1699291807

Master of Science, Physical Therapist

Carol Elskes , OTR

Occupational Therapist

NPI 1871615138

Occupational Therapist Registered

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 02, 2018

Registered at 1202 LAKEWAY DR STE 6A, LAKEWAY, TX 787344481 (Tel: 5122613584)

📍
Updated Business Mailing Address April 02, 2018

Registered at 1202 LAKEWAY DR STE 6A, LAKEWAY, TX 787344481 (Tel: 5122613584)

NPI Profile Active December 04, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 04, 2015

Registered at 1021 RR 620 S, STE B, LAKEWAY, TX 787345611 (Tel: 5128153410)

📍
Updated Business Mailing Address December 04, 2015

Registered at 8721 AMBROSIA DR, AUSTIN, TX 787384089 (Tel: 5129257780)

👤
Provider Name / Credentials Updated December 04, 2015

Recorded as STEPHANIE WISE, M.A., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2015

Speech-Language Pathologist (License #110366 in TX)

🟢
Initial NPI Registration & Enumeration December 04, 2015

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: 1992170724
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2015
Last Update: April 02, 2018
Sole Proprietor: Yes

Mailing Address

1202 Lakeway Dr Ste 6a

Lakeway, TX 787344481

Phone: 5122613584

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.