Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548815525 Individual Practitioner Female Practitioner

Jessica Christine Wan , CCC-SLP

Speech-Language Pathologist • White Bear Lake, MN

Professional Overview & Biography Verified Profile Summary

Jessica Wan, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in White Bear Lake, MN. Practice services are available at 3483 FAIR OAKS CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3483 Fair Oaks Ct

White Bear Lake, MN 551104578

Telephone 6518153752

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in White Bear Lake, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
21 Specialists

Practicing in White Bear Lake, MN (3097 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 MN 10142

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 06, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 06, 2019

Registered at 3483 FAIR OAKS CT, WHITE BEAR LAKE, MN 551104578 (Tel: 6518153752)

📍
Updated Business Mailing Address August 06, 2019

Registered at 3483 FAIR OAKS CT, WHITE BEAR LAKE, MN 551104578 (Tel: 6518153752)

👤
Provider Name / Credentials Updated August 06, 2019

Recorded as JESSICA WAN, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2019

Speech-Language Pathologist (License #10142 in MN)

🟢
Initial NPI Registration & Enumeration August 06, 2019

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: 1548815525
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2019
Last Update: August 06, 2019
Sole Proprietor: Yes

Mailing Address

3483 Fair Oaks Ct

White Bear Lake, MN 551104578

Phone: 6518153752

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.