Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710354733 Individual Practitioner Female Practitioner

Jessica Detten , MS, CCC-SLP

Speech-Language Pathologist • Springerville, AZ

Professional Overview & Biography Verified Profile Summary

Jessica Detten, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Springerville, AZ. Practice services are available at 418 E MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

418 E Main St

Springerville, AZ 859385220

Telephone 9283336800

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Springerville, AZ

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

Practicing in Springerville, 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: 2023-01-10
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AZ SLP12499

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

Commercial Insurance / Payer ID Asha
14065279
Commercial Insurance / Payer ID Az Dept Of Health Services
SLP12499 (AZ)
Commercial Insurance / Payer ID Az Dept Of Ed
6138712 (AZ)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location January 10, 2023

Registered at 418 E MAIN ST, SPRINGERVILLE, AZ 859385220 (Tel: 9283336800)

📍
Updated Business Mailing Address January 10, 2023

Registered at PO BOX 668, HOLBROOK, AZ 860250668 (Tel: 9285242123)

👤
Provider Name / Credentials Updated January 10, 2023

Recorded as JESSICA DETTEN, M.S.,CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2023

Speech-Language Pathologist (License #SLP12499 in AZ)

NPI Profile Active August 25, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 25, 2015

Registered at 1250 WALLACE BLVD, AMARILLO, TX 791061741 (Tel: 8063533596)

📍
Updated Business Mailing Address August 25, 2015

Registered at 1250 WALLACE BLVD, AMARILLO, TX 791061741 (Tel: 8063533596)

👤
Provider Name / Credentials Updated August 25, 2015

Recorded as JESSICA DETTEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2015

Speech-Language Pathologist (License #110040 in TX)

🟢
Initial NPI Registration & Enumeration August 25, 2015

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: 1710354733
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2015
Last Update: January 10, 2023
Sole Proprietor: No

Mailing Address

Po Box 668

Holbrook, AZ 860250668

Phone: 9285242123

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.