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Active NPI 1255967642 Individual Practitioner Female Practitioner

Stacy Betts Dickerson , MS, CCC-SLP

Speech-Language Pathologist • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Stacy Dickerson, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Tyler, TX. Practice services are available at 701 OLYMPIC PLAZA CIR under active NPI credentials.

Frequently performed procedures and clinical services include exam to assess movement of vocal cord flaps using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

701 Olympic Plaza Cir

Tyler, TX 757011950

Telephone 9035963136
Fax 9035963122
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.9 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
185 Specialists

Practicing in Tyler, TX (17210 Statewide)

Telehealth Adoption Rate
2.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.7% 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 (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
31579 Exam to assess movement of vocal cord flaps using an endoscope
13 13 $564.00 $193.70

Medical Specialties & State Licenses

CMS Verified: 2020-03-17
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 102145

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

5 Associated Practitioners
Vicki Walter , PTA

Physical Therapy Assistant

NPI 1003442773

Physical Therapist Assistant

Mark Saczek , PT

Physical Therapist

NPI 1023644614

Physical Therapist

Barry Frizzell , LAT, ATC, PTA, CSCS

Specialist/Technologist - Athletic Trainer

NPI 1497208656

Licensed Athletic Trainer, Certified Athletic Trainer, Physical Therapist Assistant, Certified Strength and Conditioning Specialist

Kathy Kizer , PT

Physical Therapist

NPI 1578199162

Physical Therapist

Lynn Henry , PT

Physical Therapist

NPI 1942836341

Physical Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 17, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2020

Registered at 701 OLYMPIC PLAZA CIR, TYLER, TX 757011950 (Tel: 9035963136)

📍
Updated Business Mailing Address March 17, 2020

Registered at 701 OLYMPIC PLAZA CIR, TYLER, TX 757011950 (Tel: 9035205335)

👤
Provider Name / Credentials Updated March 17, 2020

Recorded as STACY DICKERSON, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2020

Speech-Language Pathologist (License #102145 in TX)

🟢
Initial NPI Registration & Enumeration March 17, 2020

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: 1255967642
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2020
Last Update: March 17, 2020
Sole Proprietor: No

Mailing Address

701 Olympic Plaza Cir

Tyler, TX 757011950

Phone: 9035205335

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.