Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144312265 Individual Practitioner Female Practitioner

Mary Jane Jack , MSP CCC-SLP

Speech-Language Pathologist • Mt Pleasant, MI

Professional Overview & Biography Verified Profile Summary

Mary Jack, MSP CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Mt Pleasant, MI. Practice services are available at 1101 HEALTH PROFESSIONS BUILDING under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1101 Health Professions Building

Mt Pleasant, MI 488590001

Telephone 9897747290
Fax 9897741891
Associated Practice Facility / Clinic
🏢 Central Michigan University Facility NPI 1619062817

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Mt Pleasant, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
34 Specialists

Practicing in Mt Pleasant, MI (3778 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MI ASHA 01088409

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
40-4683793 (MI)
Commercial Insurance / Payer ID Asha Number
01088409 (MI)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Annmarie Bates , MSCCC-SLP

Speech-Language Pathologist

NPI 1003394974

MSCCCSLP

NPI 1023395886

Doctor of Audiology, Doctor of Philosophy (Ph.D.)

Dr. Janet Sturm , PhD, CCC-SLP

Speech-Language Pathologist

NPI 1063507291

Doctor of Philosophy (Ph.D.), Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1083798540

PHDCCCA

NPI 1114008711

Doctor of Philosophy (Ph.D.), CCCA

Dr. Bradford Swartz , PhD, CCC-SLP

Speech-Language Pathologist

NPI 1164512109

Doctor of Philosophy (Ph.D.), Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 04, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location March 04, 2010

Registered at 1101 HEALTH PROFESSIONS BUILDING, MT PLEASANT, MI 488590001 (Tel: 9897747290)

📍
Updated Business Mailing Address March 04, 2010

Registered at 1101 HEALTH PROFESSIONS BUILDING, MT PLEASANT, MI 488590001 (Tel: 9897747290)

👤
Provider Name / Credentials Updated March 04, 2010

Recorded as MARY JACK, MSP CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2010

Speech-Language Pathologist (License #ASHA 01088409 in MI)

🟢
Initial NPI Registration & Enumeration September 28, 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: 1144312265
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2006
Last Update: March 04, 2010
Sole Proprietor: No

Mailing Address

1101 Health Professions Building

Mt Pleasant, MI 488590001

Phone: 9897747290

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.