Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356958508 Individual Practitioner Female Practitioner

Sharon V Fairbourn , CCC-SLP

Speech-Language Pathologist • Logan, UT

Professional Overview & Biography Verified Profile Summary

Sharon Fairbourn, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Logan, UT. Practice services are available at 6410 OLD MAIN HL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6410 Old Main Hl

Logan, UT 843226410

Telephone 4357979234
Fax 8443085865
Associated Practice Facility / Clinic
🏢 Utah State University Facility NPI 1235374984

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Logan, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.1 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
60 Specialists

Practicing in Logan, UT (1352 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: 2020-09-30
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License UT 10579748-4102

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 Clinic Npi
1235374984 (UT)

Practice Associates & Co-Workers

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

38 Associated Practitioners
Daria Fuell

Behavior Technician

NPI 1033839121
Ryan Seedall , LMFT

Marriage & Family Therapist

NPI 1114136637

Licensed Marriage and Family Therapist

Dr. Wesley Hill , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1114288701

Doctor of Medicine (M.D.)

Joy Green , MS, OTR-L

Occupational Therapist - Pediatrics

NPI 1144785155

Master of Science, Occupational Therapist Registered & Licensed

Jennie Swartz

Behavior Technician

NPI 1154163590
NPI 1164301610

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 30, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 30, 2020

Registered at 6410 OLD MAIN HL, LOGAN, UT 843226410 (Tel: 4357979234)

📍
Updated Business Mailing Address September 30, 2020

Registered at 6410 OLD MAIN HL, LOGAN, UT 843226410 (Tel: 4357979234)

👤
Provider Name / Credentials Updated September 30, 2020

Recorded as SHARON FAIRBOURN, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2020

Speech-Language Pathologist (License #10579748-4102 in UT)

🟢
Initial NPI Registration & Enumeration September 30, 2020

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: 1356958508
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2020
Last Update: September 30, 2020
Sole Proprietor: No

Mailing Address

6410 Old Main Hl

Logan, UT 843226410

Phone: 4357979234

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.