Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912152463 Individual Practitioner Female Practitioner

Jayne Marie Hettenbaugh , MA CCC-SLP

Speech-Language Pathologist • Randolph, NY

Professional Overview & Biography Verified Profile Summary

Jayne Hettenbaugh, MA CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Randolph, NY. Practice services are available at 126 LARKIN STREET EXT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

126 Larkin Street Ext

Randolph, NY 147729651

Telephone 7163589236

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Randolph, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Randolph, NY (25106 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 NY 007795-1

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 25, 2008

NPI status registered as active in NPPES database

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Updated Practice Location November 25, 2008

Registered at 126 LARKIN STREET EXT, RANDOLPH, NY 147729651 (Tel: 7163589236)

📍
Updated Business Mailing Address November 25, 2008

Registered at P.O.BOX 53, 126 LARKIN STREET, RANDOLPH, NY 147720053 (Tel: 7163589236)

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Provider Name / Credentials Updated November 25, 2008

Recorded as JAYNE HETTENBAUGH, M.A. CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2008

Speech-Language Pathologist (License #007795-1 in NY)

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Initial NPI Registration & Enumeration November 25, 2008

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: 1912152463
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 25, 2008
Last Update: November 25, 2008
Sole Proprietor: Yes

Mailing Address

P.o.box 53, 126 Larkin Street

Randolph, NY 147720053

Phone: 7163589236

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.