Jessica Detten, MS,CCC-SLP is a
Speech-language Pathologist based in Springerville, Arizona. Jessica Detten is licensed to practice in Arizona (license number SLP12499) and her current practice location is
418 E Main St, Springerville, Arizona. She can be reached at her office (for appointments etc.) via phone at
(928) 333-6800.
NPI number for Jessica Detten is 1710354733 and her current mailing address is Po Box 668, Holbrook, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710354733.
Healthcare Provider's Profile
Full Name | Jessica Detten |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 418 E Main St, Springerville, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710354733
- Provider Enumeration Date: 08/25/2015
- Last Update Date: 01/10/2023
Medical Identifiers
Medical identifiers for Jessica Detten such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710354733 | NPI | - | NPPES |
14065279 | Other | | ASHA |
SLP12499 | Other | AZ | AZ DEPT OF HEALTH SERVICES |
6138712 | Other | AZ | AZ DEPT OF ED |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SLP12499 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Detten is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jessica Detten, MS,CCC-SLP Po Box 668, Holbrook, AZ 86025-0668 Ph: (928) 524-2123 | Jessica Detten, MS,CCC-SLP 418 E Main St, Springerville, AZ 85938-5220 Ph: (928) 333-6800 |
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