Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669027447 Individual Practitioner Female Practitioner

Jacqueline Fuentes , CCC-SLP

Speech-Language Pathologist • Brookline, MA

Professional Overview & Biography Verified Profile Summary

Jacqueline Fuentes, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Brookline, MA. Practice services are available at 1731 BEACON ST APT 704 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1731 Beacon St Apt 704

Brookline, MA 024455326

Telephone 8458574953

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

CMS Verified: 2022-11-04
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MA 78260

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License NY 030372

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

12 Historical Events
📍
Updated Practice Location November 04, 2022

Registered at 1731 BEACON ST APT 704, BROOKLINE, MA 024455326 (Tel: 8458574953)

📍
Updated Business Mailing Address November 04, 2022

Registered at 1731 BEACON ST APT 704, BROOKLINE, MA 024455326 (Tel: 8458574953)

👤
Provider Name / Credentials Updated November 04, 2022

Recorded as JACQUELINE FUENTES, CCC-SLP

📍
Updated Practice Location February 03, 2021

Registered at 6 SPENCER LN, STONY BROOK, NY 117903123 (Tel: 8458574953)

👤
Provider Name / Credentials Updated February 03, 2021

Recorded as JACQUELINE FUENTES, CCC/SLP, TSSLD-BE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2021

Speech-Language Pathologist (License #030372 in NY)

NPI Profile Active August 07, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 07, 2019

Registered at 299 HALLOCK AVE, PORT JEFF STA, NY 117761217 (Tel: 6314734284)

📍
Updated Business Mailing Address August 07, 2019

Registered at PO BOX 4303, STONY BROOK, NY 117900906 (Tel: 8458574953)

👤
Provider Name / Credentials Updated August 07, 2019

Recorded as JACQUELINE FUENTES

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 07, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1669027447
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2019
Last Update: November 04, 2022
Sole Proprietor: Yes

Mailing Address

1731 Beacon St Apt 704

Brookline, MA 024455326

Phone: 8458574953

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.