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

Individual provider Speech-Language Pathologist · NPI 1386097137

Jason Nordstrom, MS, CCC-SLP is a Speech-Language Pathologist in Fayetteville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2016.

Licensed in
AR
In the registry since
2016
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

1274 S Highbush Ave
Fayetteville, AR 72701-8265
Phone: (479) 595-2820
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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 200192 (AR)

Record details

NPI number1386097137
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 18, 2016
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024

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