Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992976740 Individual Practitioner Female Practitioner

Deborah Goodman , MS, CCC-SLP

Speech-Language Pathologist • Wise, VA

Professional Overview & Biography Verified Profile Summary

Deborah Goodman, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Wise, VA. Practice services are available at 628 LAKE ST NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

628 Lake St Ne

Wise, VA 242937919

Telephone 2763288017
Fax 2763283350
Associated Practice Facility / Clinic
🏢 Wise County Public Schools Facility NPI 1003922972

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Wise, VA

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

Practicing in Wise, 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 WV 09120829

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

Medicaid State Provider ID
3810007208 (WV)

Practice Associates & Co-Workers

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

14 Associated Practitioners
Nancy Wampler

Speech-Language Pathologist

NPI 1184141467
Susan Mullins , EDS

Psychologist - School

NPI 1205351251
Joyce Addington , CPNP

Nurse Practitioner - School

NPI 1235519968

Certified Pediatric Nurse Practitioner

Janice Triplett

Speech-Language Pathologist

NPI 1275059362
Alycia Moll

Speech-Language Pathologist

NPI 1275104770
NPI 1326345273

Doctor of Audiology, CCCA

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active January 04, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 04, 2018

Registered at 628 LAKE ST NE, WISE, VA 242937919 (Tel: 2763288017)

📍
Updated Business Mailing Address January 04, 2018

Registered at 628 LAKE ST NE, WISE, VA 242937919 (Tel: 2763283350)

👤
Provider Name / Credentials Updated January 04, 2018

Recorded as DEBORAH GOODMAN, MS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2018

Speech-Language Pathologist (License #09120829 in WV)

NPI Profile Active March 20, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2008

Registered at 400 NEVILLE ST, BECKLEY, WV 258014511 (Tel: 3042564712)

📍
Updated Business Mailing Address March 20, 2008

Registered at 400 NEVILLE ST, BECKLEY, WV 258014511 (Tel: 3042564712)

👤
Provider Name / Credentials Updated March 20, 2008

Recorded as DEBORAH GOODMAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2008

Speech-Language Pathologist (License #09120829 in WV)

🟢
Initial NPI Registration & Enumeration March 20, 2008

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: 1992976740
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2008
Last Update: January 04, 2018
Sole Proprietor: Yes

Mailing Address

628 Lake St Ne

Wise, VA 242937919

Phone: 2763283350

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.