Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568006161 Individual Practitioner Female Practitioner

Justine Dodge , MS, CCC-SLP

Speech-Language Pathologist • Los Alamos, NM

Professional Overview & Biography Verified Profile Summary

Justine Dodge, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Los Alamos, NM. Practice services are available at 402 PRUITT AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

402 Pruitt Ave

Los Alamos, NM 875473627

Telephone 5059334336

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Los Alamos, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Los Alamos, NM (2057 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 NM 5085

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 November 06, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location November 06, 2019

Registered at 402 PRUITT AVE, LOS ALAMOS, NM 875473627 (Tel: 5059334336)

📍
Updated Business Mailing Address November 06, 2019

Registered at 402 PRUITT AVE, LOS ALAMOS, NM 875473627 (Tel: 5059334336)

👤
Provider Name / Credentials Updated November 06, 2019

Recorded as JUSTINE DODGE, MS, CCC-SLP

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

Speech-Language Pathologist (License #5085 in NM)

🟢
Initial NPI Registration & Enumeration November 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: 1568006161
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2019
Last Update: November 06, 2019
Sole Proprietor: No

Mailing Address

402 Pruitt Ave

Los Alamos, NM 875473627

Phone: 5059334336

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.