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Active NPI 1639309164 Individual Practitioner Female Practitioner

Stacey R Ford , CCC-SLP

Speech-Language Pathologist • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Stacey Ford, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Mesa, AZ. Practice services are available at 10100 E ADOBE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10100 E Adobe Rd

Mesa, AZ 852075404

Telephone 4805296355
Associated Practice Facility / Clinic
🏢 Pioneer Pet, Llc Facility NPI 1265401996

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
429 Specialists

Practicing in Mesa, 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

CMS Verified: 2025-06-04
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AZ SLP6245

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
442037 (AZ)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location June 04, 2025

Registered at 10100 E ADOBE RD, MESA, AZ 852075404 (Tel: 4805296355)

👤
Provider Name / Credentials Updated May 09, 2018

Recorded as STACEY FORD, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2018

Speech-Language Pathologist (License #SLP6245 in AZ)

NPI Profile Active September 10, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2009

Registered at 1930 E SOUTHERN AVE, TEMPE, AZ 852827518 (Tel: 4804560719)

📍
Updated Business Mailing Address September 10, 2009

Registered at 1930 E SOUTHERN AVE, TEMPE, AZ 852827518 (Tel: 4804560719)

👤
Provider Name / Credentials Updated September 10, 2009

Recorded as STACEY FORD, ST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2009

Speech-Language Pathologist (License #TSLP6245 in AZ)

🟢
Initial NPI Registration & Enumeration July 17, 2009

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: 1639309164
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2009
Last Update: June 04, 2025
Sole Proprietor: No

Mailing Address

1930 E Southern Ave

Tempe, AZ 852827518

Phone: 4804560719

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.