Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124523030 Individual Practitioner Female Practitioner

Mary Sackfield Porter , CCC, SLP

Speech-Language Pathologist • Broadlands, VA

Professional Overview & Biography Verified Profile Summary

Mary Porter, CCC, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Broadlands, VA. Practice services are available at 21000 EDUCATION CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

21000 Education Ct

Broadlands, VA 201485526

Telephone 7035179614
Associated Practice Facility / Clinic
🏢 Loudoun County Public Schools Facility NPI 1902151863

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Broadlands, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
76 Specialists

Practicing in Broadlands, VA (4974 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 VA 2202002614

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.

Secondary Practice Locations

21000 Education Ct

Broadlands, VA 201485526

Phone: 7035179614

Practice Associates & Co-Workers

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

40 Associated Practitioners
Erin Crosby , LCSW

Social Worker - Clinical

NPI 1013336403

Licensed Clinical Social Worker

Zarlasht Ahmad , MA, NCSP

Psychologist - School

NPI 1013607050

Master of Arts, NCSP

NPI 1023311750

Physical Therapist, Doctor of Physical Therapy

Urvashi Varma

Specialist/Technologist - Speech-Language Assistant

NPI 1023512993
Julie Witkowski , MS, CCC-SLP

Speech-Language Pathologist

NPI 1033241054

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

Dana Todd

Speech-Language Pathologist

NPI 1033615844

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 25, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 25, 2018

Registered at 21000 EDUCATION CT, BROADLANDS, VA 201485526 (Tel: 7035179614)

📍
Updated Business Mailing Address March 25, 2018

Registered at 21000 EDUCATION CT, BROADLANDS, VA 201485526 (Tel: 7035179614)

👤
Provider Name / Credentials Updated March 25, 2018

Recorded as MARY PORTER, CCC/SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2018

Speech-Language Pathologist (License #2202002614 in VA)

🟢
Initial NPI Registration & Enumeration March 25, 2018

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: 1124523030
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2018
Last Update: March 25, 2018
Sole Proprietor: No

Mailing Address

21000 Education Ct

Broadlands, VA 201485526

Phone: 7035179614

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.