Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932261096 Individual Practitioner Female Practitioner

Virginia Sheryl Pedersen , MS SLP-CCC

Speech-Language Pathologist • Ft Defiance, AZ

Professional Overview & Biography Verified Profile Summary

Virginia Pedersen, MS SLP-CCC is a registered healthcare professional specializing in Speech-Language Pathologist in Ft Defiance, AZ. Practice services are available at NAVAJO RT 12 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Navajo Rt 12
Window Rock Unified School District

Ft Defiance, AZ 86504

Telephone 9287296757
Fax 9285246367

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Ft Defiance, AZ

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

Practicing in Ft Defiance, 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 SLP5025

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

Medicaid State Provider ID
119272 (AZ)

Practice Associates & Co-Workers

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

5 Associated Practitioners
Elaine Lee , SLP

Speech-Language Pathologist

NPI 1093844524

Speech-Language Pathologist

NPI 1164608774

Certified Occupational Therapy Assistant, L

Angela Stribling , CCC-SLP

Speech-Language Pathologist

NPI 1306915004

Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1326268566

Occupational Therapist Registered

Diane Brooks , PT

Physical Therapist

NPI 1457582884

Physical Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at NAVAJO RT 12, WINDOW ROCK UNIFIED SCHOOL DISTRICT, FT DEFIANCE, AZ 86504 (Tel: 9287296757)

📍
Updated Business Mailing Address July 09, 2007

Registered at PO BOX 1817, FORT DEFIANCE, AZ 865041817 (Tel: 9282411141)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as VIRGINIA PEDERSEN, M.S. SLP-CCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Speech-Language Pathologist (License #SLP5025 in AZ)

🟢
Initial NPI Registration & Enumeration December 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1932261096
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2006
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

Po Box 1817

Fort Defiance, AZ 865041817

Phone: 9282411141

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.