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JESSICA DETTEN M.S.CCC-SLP NPI 1710354733


NPI Information

NPI: 1710354733
Provider Name: JESSICA DETTEN, M.S.,CCC-SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
418 E MAIN ST
SPRINGERVILLE, AZ
ZIP 85938
Phone: (928) 333-6800
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Jessica Detten, M.S.,CCC-SLP is a speech language pathologist in Springerville, AZ. The provider is 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. Jessica Detten, M.S.,CCC-SLP NPI is 1710354733. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

418 E MAIN ST
SPRINGERVILLE, AZ
ZIP 85938-220
Phone: (928) 333-6800

The enumeration date for this NPI number is 8/25/2015 and was last updated on 1/10/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistSLP12499ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
114065279OTHERASHA
2SLP12499OTHERARIZONAAZ DEPT OF HEALTH SERVICES
36138712OTHERARIZONAAZ DEPT OF ED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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