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Active NPI 1326657396 Individual Practitioner Female Practitioner

Elyse Wiedemann , MS, CCC-SLP TSSLD

Speech-Language Pathologist • League City, TX

Professional Overview & Biography Verified Profile Summary

Elyse Wiedemann, MS, CCC-SLP TSSLD is a registered healthcare professional specializing in Speech-Language Pathologist in League City, TX. Practice services are available at 276 W FORK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

276 W Fork Dr

League City, TX 775733484

Telephone 4129654463

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in League City, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
42 Specialists

Practicing in League City, TX (17210 Statewide)

Telehealth Adoption Rate
2.4% 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: 2020-07-27
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 116547

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

6 Historical Events
NPI Profile Active July 27, 2020

NPI status registered as active in NPPES database

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Updated Practice Location July 27, 2020

Registered at 276 W FORK DR, LEAGUE CITY, TX 775733484 (Tel: 4129654463)

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Updated Business Mailing Address July 27, 2020

Registered at 276 W FORK DR, LEAGUE CITY, TX 775733484

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Provider Name / Credentials Updated July 27, 2020

Recorded as ELYSE WIEDEMANN, MS, CCC-SLP TSSLD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2020

Speech-Language Pathologist (License #116547 in TX)

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Initial NPI Registration & Enumeration July 27, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1326657396
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2020
Last Update: July 27, 2020
Sole Proprietor: Yes

Mailing Address

276 W Fork Dr

League City, TX 775733484

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.