IndividualActive
Megan Grissom-Dubenco, M.S., CCC-SLP
NPI 1831697465 · Speech-Language Pathologist · Bloomington, IL
Provider details
- NPI number
- 1831697465
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S., CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- SP-2076 (NV)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
473 W Army Trail Rd
Bloomington, IL 60108-2674
Phone: (224) 520-8562
Fax: (215) 318-1772
Approximate (ZIP-level) locationGet directions
Mailing address
473 W Army Trail Rd
Bloomington, IL 60108-2674
Additional practice locations (1)
- 7425 W Azure Dr Ste 140Las Vegas, NV 89130-4425Phone: (702) 515-4009
Registry dates
- Enumerated
- 2018-01-29
- Last updated
- 2022-11-18
- Certified
- 2022-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.