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Active NPI 1568185957 Individual Practitioner Female Practitioner

Neely Nicole Mack

Specialist/Technologist - Speech-Language Assistant • Glendale, AZ

Professional Overview & Biography Verified Profile Summary

Neely Mack is a registered healthcare professional specializing in Specialist/Technologist - Speech-Language Assistant in Glendale, AZ. Practice services are available at 6635 W HAPPY VALLEY RD STE A104-218 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6635 W Happy Valley Rd Ste A104-218

Glendale, AZ 853102609

Telephone 6029202686
Associated Practice Facility / Clinic
🏢 Therapy Builders Facility NPI 1528989860

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Speech-Language Assistant in Glendale, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 8.5 Yrs
Regional Practice Density
144 Specialists

Practicing in Glendale, AZ (2360 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

CMS Verified: 2023-01-04
Specialist/Technologist - Speech-Language Assistant Primary Specialty

NUCC Taxonomy Code: 2355S0801X

State License AZ SLPA14123

Definition to come...

Practice Associates & Co-Workers

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

1 Associated Practitioners
Devin Tinder , SLPA

Specialist/Technologist - Speech-Language Assistant

NPI 1992490874

Speech-Language Pathology Assistant

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location January 04, 2023

Registered at 6635 W HAPPY VALLEY RD STE A104-218, GLENDALE, AZ 853102609 (Tel: 6029202686)

✅
NPI Profile Active September 21, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 21, 2022

Registered at 1029 E LODGEPOLE DR, GILBERT, AZ 852987313 (Tel: 4806506069)

📍
Updated Business Mailing Address September 21, 2022

Registered at 1029 E LODGEPOLE DR, GILBERT, AZ 852987313 (Tel: 4806506069)

👤
Provider Name / Credentials Updated September 21, 2022

Recorded as NEELY MACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2022

Specialist/Technologist (License #SLPA14123 in AZ)

🟢
Initial NPI Registration & Enumeration September 21, 2022

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: 1568185957
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2022
Last Update: January 04, 2023
Sole Proprietor: No
Update or Correct Profile

Mailing Address

1029 E Lodgepole Dr

Gilbert, AZ 852987313

Phone: 4806506069

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.