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Active NPI 1215222781 Individual Practitioner Female Practitioner

Jacqueline Rae Brock , MS, CCC-SLP

Speech-Language Pathologist • Hebron, KY

Professional Overview & Biography Verified Profile Summary

Jacqueline Brock, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Hebron, KY. Practice services are available at 2605 BETHLEHEM LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2605 Bethlehem Ln

Hebron, KY 410489714

Telephone 2818451902

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Hebron, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Hebron, KY (2945 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-09-07
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 106170

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 07, 2022

Registered at 2605 BETHLEHEM LN, HEBRON, KY 410489714 (Tel: 2818451902)

📍
Updated Business Mailing Address September 07, 2022

Registered at 2605 BETHLEHEM LN, HEBRON, KY 410489714 (Tel: 2818451902)

👤
Provider Name / Credentials Updated September 07, 2022

Recorded as JACQUELINE BROCK, M.S, CCC-SLP

NPI Profile Active June 13, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2011

Registered at 6401 LAKERUN CT, HAMILTON, OH 450117181 (Tel: 2147245691)

📍
Updated Business Mailing Address June 13, 2011

Registered at 6401 LAKERUN CT, HAMILTON, OH 450117181 (Tel: 2147245691)

👤
Provider Name / Credentials Updated June 13, 2011

Recorded as JACQUELINE LANDERS, M.S,

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2011

Speech-Language Pathologist (License #106170 in TX)

🟢
Initial NPI Registration & Enumeration June 13, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215222781
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2011
Last Update: September 07, 2022
Sole Proprietor: No

Mailing Address

2605 Bethlehem Ln

Hebron, KY 410489714

Phone: 2818451902

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.