Jacqueline Rae Brock, MS, CCC-SLP is a
Speech-language Pathologist based in Hebron, Kentucky. Jacqueline Rae Brock is licensed to practice in Texas (license number 106170) and her current practice location is
2605 Bethlehem Ln, Hebron, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(281) 845-1902.
NPI number for Jacqueline Rae Brock is 1215222781 and her current mailing address is 2605 Bethlehem Ln, Hebron, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215222781.
Healthcare Provider's Profile
Full Name | Jacqueline Rae Brock |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 2605 Bethlehem Ln, Hebron, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215222781
- Provider Enumeration Date: 06/13/2011
- Last Update Date: 09/07/2022
Medical Identifiers
Medical identifiers for Jacqueline Rae Brock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215222781 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 106170 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Rae Brock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jacqueline Rae Brock, MS, CCC-SLP 2605 Bethlehem Ln, Hebron, KY 41048-9714 Ph: (281) 845-1902 | Jacqueline Rae Brock, MS, CCC-SLP 2605 Bethlehem Ln, Hebron, KY 41048-9714 Ph: (281) 845-1902 |
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