Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407234750 Individual Practitioner Female Practitioner

Jacqueline Anderson , CCC-SLP

Speech-Language Pathologist • Baltimore, MD

Professional Overview & Biography Verified Profile Summary

Jacqueline Anderson, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Baltimore, MD. Practice services are available at 707 N BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

707 N Broadway

Baltimore, MD 212051832

Telephone 4439231872
Associated Practice Facility / Clinic
🏢 Kennedy Krieger Associates Facility NPI 1871515783

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Baltimore, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.4 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
826 Specialists

Practicing in Baltimore, MD (4547 Statewide)

Telehealth Adoption Rate
1.3% 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: 2025-11-10
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NJ 41YS01054600

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.

Secondary Practice Locations

212 Drake Rd

Brick, NJ 087236610

Phone: 7327541268

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Emily Dreschel , MED, CCC-SLP

Speech-Language Pathologist

NPI 1003282195

Master of Education, Speech-Language Pathologist (Certificate of Clinical Competence)

Hayley Polm , MA, CF-SLP

Speech-Language Pathologist

NPI 1013461854

Master of Arts, Clinical Fellow in Speech-Language Pathology

NPI 1023561982
Katherine Millan , CCC-SLP

Speech-Language Pathologist

NPI 1033665849

Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1053747451

Doctor of Philosophy (Ph.D.)

NPI 1073024527

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Business Mailing Address November 10, 2025

Registered at 212 DRAKE RD, BRICK, NJ 087236610 (Tel: 7327541268)

👤
Provider Name / Credentials Updated November 10, 2025

Recorded as JACQUELINE ANDERSON, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2025

Speech-Language Pathologist (License #41YS01054600 in NJ)

NPI Profile Active May 07, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 07, 2015

Registered at 707 N BROADWAY, BALTIMORE, MD 212051832 (Tel: 4439231872)

📍
Updated Business Mailing Address May 07, 2015

Registered at 2931 E BIDDLE ST, BALTIMORE, MD 212133939

👤
Provider Name / Credentials Updated May 07, 2015

Recorded as JACQUELINE DOLAN, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2015

Speech-Language Pathologist (License #07798 in MD)

🟢
Initial NPI Registration & Enumeration May 07, 2015

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: 1407234750
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2015
Last Update: November 10, 2025
Sole Proprietor: No

Mailing Address

212 Drake Rd

Brick, NJ 087236610

Phone: 7327541268

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.