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Deactivated NPI 1265860332 Deactivated / Inactive NPI Female Practitioner

Jessica Bow , MS CCC-SLP

Speech-Language Pathologist • Brookline, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jessica Bow has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 28, 2013
NPI Deactivation Date October 03, 2018
Total Practice Duration ~5 Years of Practice (2013 – 2018)

Professional Overview & Biography Verified Profile Summary

Jessica Bow, MS CCC-SLP was a registered Speech-Language Pathologist practicing in Brookline, MA. Throughout an active medical career spanning 5 years, Jessica Bow provided care at the practice location at 68 HARVARD AVENUE until profile deactivation on 2018-10-03.

Practice Location & Contact Primary Location

Practice Address

68 Harvard Avenue

Brookline, MA 02445

Telephone 6174874345

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Brookline, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
66 Specialists

Practicing in Brookline, MA (4034 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MA 8850

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.

Practice Associates & Co-Workers

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

13 Associated Practitioners
Mandy Jasnoff , MS, CCC-SLP

Speech-Language Pathologist

NPI 1003105735

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

Naima Aguayo-Pohl

Speech-Language Pathologist

NPI 1124573415
Sarah Baker , MS

Speech-Language Pathologist

NPI 1174298509

Master of Science

Andrea Edmunds , MA, CCC-SLP

Speech-Language Pathologist

NPI 1184966558

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

Kelsey Butler , MA CCC-SLP

Speech-Language Pathologist

NPI 1194279182

MACCCSLP

Alexandra Dyer , CCC-SLP

Speech-Language Pathologist

NPI 1194336776

Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 03, 2018

Record deactivated on October 03, 2018

NPI Profile Active October 28, 2013

NPI status registered as active in NPPES database

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Updated Practice Location October 28, 2013

Registered at 68 HARVARD AVENUE, BROOKLINE, MA 02445 (Tel: 6174874345)

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Updated Business Mailing Address October 28, 2013

Registered at 136 COREY ST, APT. 2L, WEST ROXBURY, MA 021322346 (Tel: 2032402980)

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Provider Name / Credentials Updated October 28, 2013

Recorded as JESSICA BOW, MS CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2013

Speech-Language Pathologist (License #8850 in MA)

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Initial NPI Registration & Enumeration October 28, 2013

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: 1265860332
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 28, 2013
Last Update: October 28, 2013
Deactivation Date: October 03, 2018

Mailing Address

136 Corey St, Apt. 2l

West Roxbury, MA 021322346

Phone: 2032402980

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.