Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952441602 Individual Practitioner Female Practitioner

Jackie Lynn Mathiesen , MS CCC-SLP

Speech-Language Pathologist • Avondale, AZ

Professional Overview & Biography Verified Profile Summary

Jackie Mathiesen, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Avondale, AZ. Practice services are available at 12409 W INDIAN SCHOOL RD STE C306 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12409 W Indian School Rd Ste C306

Avondale, AZ 853239508

Telephone 6239356040
Associated Practice Facility / Clinic
🏢 Wee Care Corporation Facility NPI 1891908588

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Avondale, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
39 Specialists

Practicing in Avondale, AZ (4584 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AZ SLP4480

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

29 Associated Practitioners
Sarah Disney

Specialist/Technologist - Speech-Language Assistant

NPI 1023740982
NPI 1033464474

Certified Occupational Therapy Assistant, L

Tammy Volkenant , SLPA

Specialist/Technologist - Speech-Language Assistant

NPI 1174825822

Speech-Language Pathology Assistant

Ramaah Hawthorne , SLPA

Specialist/Technologist - Speech-Language Assistant

NPI 1184046310

Speech-Language Pathology Assistant

Tricia Finger

Occupational Therapist

NPI 1184753428
Elisabeth Stuewe , MS, OTR, L

Occupational Therapist

NPI 1235174632

Master of Science, Occupational Therapist Registered, L

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 12409 W INDIAN SCHOOL RD STE C306, AVONDALE, AZ 853239508 (Tel: 6239356040)

📍
Updated Business Mailing Address July 08, 2007

Registered at 14408 W DESERT COVE RD, SURPRISE, AZ 853794334

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JACKIE MATHIESEN, M.S. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #SLP4480 in AZ)

🟢
Initial NPI Registration & Enumeration February 08, 2007

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: 1952441602
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

14408 W Desert Cove Rd

Surprise, AZ 853794334

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.