Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jill Nicole Basham, SLP

Individual provider Speech-Language Pathologist · NPI 1033456736

Jill Nicole Basham, SLP is a Speech-Language Pathologist in Flagstaff, Arizona. Licensed in Arizona. Registered with an NPI since 2013.

Licensed in
AZ
In the registry since
2013
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone: (602) 628-8597
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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 SLP7396 (AZ)

Record details

NPI number1033456736
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorNo
NPI enumeratedJanuary 15, 2013
Last updated in NPPESJanuary 15, 2013
Mailing address1200 N Beaver St, Flagstaff, AZ 86001-3118

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