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Active NPI 1205458999 Individual Practitioner Male Practitioner

David Alexander Icanberry , SLP

Speech-Language Pathologist • Arlington, WA

Professional Overview & Biography Verified Profile Summary

David Icanberry, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Arlington, WA. Practice services are available at 16710 SMOKEY POINT BLVD STE 402 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16710 Smokey Point Blvd Ste 402

Arlington, WA 982238435

Telephone 3603634234
Fax 3603634235
Associated Practice Facility / Clinic
🏢 Beautiful Autism Facility NPI 1841651585

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Arlington, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
12 Specialists

Practicing in Arlington, WA (4167 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

CMS Verified: 2020-05-15
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WA LL60976960

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

39 Associated Practitioners
Taya Richins-Patty

Occupational Therapy Assistant

NPI 1033862511
Emmorie Cannon

Behavior Technician

NPI 1053937235
Lexxus Middlebrooks

Behavior Technician

NPI 1073176327
Alexis Lowe

Student in an Organized Health Care Education/Training Program

NPI 1114745312
Chantel Buss , STUDENT

Student in an Organized Health Care Education/Training Program

NPI 1164238309
Robert Stewart

Student in an Organized Health Care Education/Training Program

NPI 1164264545

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 15, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 15, 2020

Registered at 16710 SMOKEY POINT BLVD STE 402, ARLINGTON, WA 982238435 (Tel: 3603634234)

📍
Updated Business Mailing Address May 15, 2020

Registered at 9721 12TH PL SE, LAKE STEVENS, WA 982581992 (Tel: 5109194029)

👤
Provider Name / Credentials Updated May 15, 2020

Recorded as DAVID ICANBERRY, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2020

Speech-Language Pathologist (License #LL60976960 in WA)

🟢
Initial NPI Registration & Enumeration May 15, 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: 1205458999
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2020
Last Update: May 15, 2020
Sole Proprietor: No

Mailing Address

9721 12th Pl Se

Lake Stevens, WA 982581992

Phone: 5109194029

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.