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Active NPI 1659932275 Individual Practitioner Male Practitioner

Jared Austin Fulgham , CCC-SLP

Speech-Language Pathologist • Logan, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jared Fulgham, CCC-SLP is a certified Speech-Language Pathologist practicing in Logan, UT. With approximately 11 years of clinical experience since completing medical education in 2015, Jared Fulgham delivers high-quality medical care to the local community at 6410 OLD MAIN HL.

Jared Fulgham is affiliated with Utah State University and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

6410 Old Main Hl

Logan, UT 843226410

Telephone 4357971375
Fax 8443085865
Associated Practice Facility / Clinic
🏢 Utah State University Facility NPI 1235374984

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Logan, UT

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -3.1 yrs vs City Avg
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

Clinical Seniority & Experience Comparison

Dr. Fulgham (11 Years) 11 Yrs
Logan Specialty Average (14.1 Years) 14.1 Yrs

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License UT 9451387-4102

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 State License
9451387-4102 (UT)
Commercial Insurance / Payer ID State License
SLP-3236 (ID)

Hospital & Practice Group Affiliations

Utah State University

6410 Old Main Hl, Logan, UT 843226410

Phone: 4357971346

Practice Associates & Co-Workers

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

40 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 June 25, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2019

Registered at 6410 OLD MAIN HL, LOGAN, UT 843226410 (Tel: 4357971375)

📍
Updated Business Mailing Address June 25, 2019

Registered at 6410 OLD MAIN HL, LOGAN, UT 843226410 (Tel: 4357971375)

👤
Provider Name / Credentials Updated June 25, 2019

Recorded as JARED FULGHAM, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2019

Speech-Language Pathologist (License #9451387-4102 in UT)

🟢
Initial NPI Registration & Enumeration June 25, 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: 1659932275
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2019
Last Update: June 25, 2019
Sole Proprietor: No

Mailing Address

6410 Old Main Hl

Logan, UT 843226410

Phone: 4357971375

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.