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Active NPI 1235346065 Individual Practitioner Female Practitioner

Heather L Pederson , CCC-SLP

Speech-Language Pathologist • Buckeye, AZ

Professional Overview & Biography Verified Profile Summary

Heather Pederson, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Buckeye, AZ. Practice services are available at 210 S 6TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

210 S 6th St

Buckeye, AZ 853262830

Telephone 6233864487
Fax 6233866063
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Buckeye, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
13 Specialists

Practicing in Buckeye, 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 4778

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 Asha Certified Member
09145517 (AZ)
Commercial Insurance / Payer ID Slp - Regular License
4778 (AZ)

Practice Associates & Co-Workers

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

6 Associated Practitioners
Michael Hall

Occupational Therapy Assistant

NPI 1487506341
Amber Gaines

Psychologist - School

NPI 1598914533
Antesha Antreas

Specialist/Technologist - Speech-Language Assistant

NPI 1689457459
Audra Huddleston

Licensed Practical Nurse

NPI 1790036416
Gregory Corralejo , MA

Case Manager/Care Coordinator

NPI 1871727610

Master of Arts

Beth Alsing , SLPA

Specialist/Technologist - Speech-Language Assistant

NPI 1912500984

Speech-Language Pathology Assistant

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 210 S 6TH ST, BUCKEYE, AZ 853262830 (Tel: 6233864487)

📍
Updated Business Mailing Address July 08, 2007

Registered at 18179 W OCOTILLO AVE, GOODYEAR, AZ 853385074 (Tel: 6023575926)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as HEATHER PEDERSON, CCC-SLP

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

Speech-Language Pathologist (License #4778 in AZ)

🟢
Initial NPI Registration & Enumeration May 17, 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: 1235346065
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

18179 W Ocotillo Ave

Goodyear, AZ 853385074

Phone: 6023575926

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.