Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902817174 Individual Practitioner Female Practitioner

Heather S Dominguez , MS, CCC-SLP

Speech-Language Pathologist • Scottsdale, AZ

Professional Overview & Biography Verified Profile Summary

Heather Dominguez, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Scottsdale, AZ. Practice services are available at 10049 E DYNAMITE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10049 E Dynamite Blvd
Suite 110

Scottsdale, AZ 852623694

Telephone 6025102140
Associated Practice Facility / Clinic
🏢 Dynamite Therapy, Llc Facility NPI 1730388828

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Scottsdale, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.3 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
390 Specialists

Practicing in Scottsdale, AZ (4584 Statewide)

Telehealth Adoption Rate
2.6% 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 SLP1861

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
649808 (AZ)

Practice Associates & Co-Workers

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

15 Associated Practitioners
Linda Rechter , SLP

Speech-Language Pathologist

NPI 1043452543

Speech-Language Pathologist

Cindy Lawson , OTR, L

Occupational Therapist

NPI 1073828570

Occupational Therapist Registered, L

Patricia Varner-Lederman , MS, CCC-SLP

Speech-Language Pathologist

NPI 1083920326

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Rebecca Picciano , BS, SLPA

Specialist/Technologist - Speech-Language Assistant

NPI 1265862296

Bachelor of Science, Speech-Language Pathology Assistant

Dalaina Holmes , OTR, L

Occupational Therapist

NPI 1487487963

Occupational Therapist Registered, L

Hilary Pace , SLP-CF

Speech-Language Pathologist

NPI 1508416231

SLPCF

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 14, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 14, 2013

Registered at 10049 E DYNAMITE BLVD, SUITE 110, SCOTTSDALE, AZ 852623694 (Tel: 6025102140)

📍
Updated Business Mailing Address January 14, 2013

Registered at 11227 E SHERIDAN AVE, MESA, AZ 852127052 (Tel: 6025102140)

👤
Provider Name / Credentials Updated January 14, 2013

Recorded as HEATHER DOMINGUEZ, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2013

Speech-Language Pathologist (License #SLP1861 in AZ)

🟢
Initial NPI Registration & Enumeration August 11, 2006

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: 1902817174
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2006
Last Update: January 14, 2013
Sole Proprietor: Yes

Mailing Address

11227 E Sheridan Ave

Mesa, AZ 852127052

Phone: 6025102140

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.