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Active NPI 1821367178 Individual Practitioner Female Practitioner

Jody R Clark

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

Professional Overview & Biography Verified Profile Summary

Jody Clark is a registered healthcare professional specializing in Specialist/Technologist - Speech-Language Assistant in Phoenix, AZ. Practice services are available at 20402 N 15TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

20402 N 15th Ave

Phoenix, AZ 850273636

Telephone 6234455952
Fax 6234455095
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

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

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 8.5 Yrs
Regional Practice Density
538 Specialists

Practicing in Phoenix, 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

Specialist/Technologist - Speech-Language Assistant Primary Specialty

NUCC Taxonomy Code: 2355S0801X

State License AZ SLPA7559

Definition to come...

Practice Associates & Co-Workers

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

11 Associated Practitioners
Shari Ballance

Psychologist - School

NPI 1205116522
Kimberly Hicks

Psychologist - School

NPI 1215219076
Julie Griffin

Licensed Practical Nurse

NPI 1477824795
Cherylee Hirsch

Psychologist - School

NPI 1679853253
Penny Brening

Specialist/Technologist - Speech-Language Assistant

NPI 1699059329
Brandy Mcdonnell

Psychologist - School

NPI 1720360589

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 15, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 15, 2011

Registered at 20402 N 15TH AVE, PHOENIX, AZ 850273636 (Tel: 6234455952)

📍
Updated Business Mailing Address December 15, 2011

Registered at 20402 N 15TH AVE, PHOENIX, AZ 850273636 (Tel: 6234455952)

👤
Provider Name / Credentials Updated December 15, 2011

Recorded as JODY CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2011

Specialist/Technologist (License #SLPA7559 in AZ)

🟢
Initial NPI Registration & Enumeration December 15, 2011

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: 1821367178
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2011
Last Update: December 15, 2011
Sole Proprietor: No

Mailing Address

20402 N 15th Ave

Phoenix, AZ 850273636

Phone: 6234455952

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.