Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jason Mitsdarffer, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1134382781

Jason Mitsdarffer, MS, CCC-SLP is a Speech-Language Pathologist in Wauconda, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2008
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1894 Applewood Dr
Wauconda, IL 60084-1422
Phone: (847) 377-7346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 146.006507 (IL)

Record details

NPI number1134382781
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedJuly 3, 2008
Last updated in NPPESJuly 3, 2008

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