Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Anderson, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1407234750

Jacqueline Anderson, CCC-SLP is a Speech-Language Pathologist in Baltimore, Maryland. Works from 2 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2015
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

707 N Broadway
Baltimore, MD 21205-1832
Phone: (443) 923-1872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 212 Drake Rd, Brick, NJ 08723-6610 — (732) 754-1268

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 41YS01054600 (NJ)

Record details

NPI number1407234750
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedMay 7, 2015
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025

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