Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861381188 Individual Practitioner Female Practitioner

Maryellen Devic , SLP

Speech-Language Pathologist • Jackson, WY

Professional Overview & Biography Verified Profile Summary

Maryellen Devic, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Jackson, WY. Practice services are available at 555 E BROADWAY AVE STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

555 E Broadway Ave Ste 100

Jackson, WY 830018640

Telephone 3077397491
Fax 3077391831

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Jackson, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 14.7 Yrs
Regional Practice Density
16 Specialists

Practicing in Jackson, WY (331 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: 2025-07-01
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WY SP-1405

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

Commercial Insurance / Payer ID Sp License
SP-1405 (WY)

Practice Associates & Co-Workers

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

7 Associated Practitioners
Benjamin Moore , PT

Physical Therapist

NPI 1033240981

Physical Therapist

Hannah Bernier , PT

Physical Therapist

NPI 1134055262

Physical Therapist

Laura Collebrusco , PT

Physical Therapist

NPI 1134960826

Physical Therapist

Kristopher Allison , OT

Occupational Therapist

NPI 1184793077

Occupational Therapist

Marina Nell , PT

Physical Therapist

NPI 1326119850

Physical Therapist

Jacob Durham , PTA

Physical Therapy Assistant

NPI 1740024223

Physical Therapist Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 01, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2025

Registered at 555 E BROADWAY AVE STE 100, JACKSON, WY 830018640 (Tel: 3077397491)

📍
Updated Business Mailing Address July 01, 2025

Registered at 555B CACHE CREEK DR, JACKSON, WY 830018653 (Tel: 7169973566)

👤
Provider Name / Credentials Updated July 01, 2025

Recorded as MARYELLEN DEVIC, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2025

Speech-Language Pathologist (License #SP-1405 in WY)

🟢
Initial NPI Registration & Enumeration July 01, 2025

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: 1861381188
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2025
Last Update: July 01, 2025
Sole Proprietor: Yes

Mailing Address

555b Cache Creek Dr

Jackson, WY 830018653

Phone: 7169973566

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.