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Click ‘Get Form’ to open the slp contracting application in the editor.
Begin by filling out your practitioner information. Select your provider type (OT, PT, or SLP) and enter your first name, last name, NPI, social security number, date of birth, and license numbers.
Next, provide practice location information. Specify whether this is your primary or secondary practice and include the practice name, tax ID number, address, email, and phone number.
Complete the additional practice locations section if applicable. List any other sites where you will provide services using the same NPI.
Fill in billing address details and ensure that all required fields are completed to avoid delays in processing.
Review the signature waiver section and select your preference regarding claim form signatures before signing and dating the application.
Finally, fax your completed application to 617-246-5053 and keep a copy for your records.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (100 Votes)
2018	4.4 Satisfied (26 Votes)

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What type of SLP makes the most money?

Independent Contractor: Freedom and Flexibility for SLPs The independent contractor (IC) route offers a unique work style for those who value autonomy. As an IC, you get to design your own schedule, choose your caseload, and focus on areas that interest you most.

How much do contract speech pathologists make?

Independent Contractor Speech Pathologist Salary. $86,000 is the 25th percentile. Salaries below this are outliers. $108,500 is the 75th percentile.

What does it mean to be a contract with SLP?

An SLP Contract job is a temporary position where a Speech-Language Pathologist (SLP) is hired for a set period, typically through a staffing agency or directly by a school, hospital, or healthcare facility.

How much do SLP contractors make?

What are Top 10 Highest Paying Cities for Independent Contractor Speech Pathologist Jobs CityAnnual SalaryHourly Wage South San Francisco, CA $116,664 $56.09 San Francisco, CA $114,382 $54.99 Santa Clara, CA $114,019 $54.82 Sunnyvale, CA $113,943 $54.786 more rows

Can a SLP be an independent contractor?

Thinking about expanding your options as a speech-language pathologist (SLP)? The independent contractor (IC) route offers a unique work style for those who value autonomy. As an IC, you get to design your own schedule, choose your caseload, and focus on areas that interest you most.