Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kirby Gooding Wassom, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1235829854

Kirby Gooding Wassom, MSCCC-SLP is a Qualified Speech Language Pathologist in Bowling Green, Kentucky. Qualified in 2020, 6 years ago. Practices with Empowerme Rehabilitation Kentucky, LLC, a 107-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
6
Licensed in
KY
In the registry since
2023
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Practice location Address checks out

2945 Smallhouse Rd
Bowling Green, KY 42104-4519
Phone: (270) 842-0004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 269534 (KY)

Record details

NPI number1235829854
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedMay 8, 2023
Last updated in NPPESMay 10, 2023
Certification dateMay 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Empowerme Rehabilitation Kentucky, Llc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bowling Green