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

Individual provider Speech-Language Pathologist · NPI 1053679118

Jacqueline F Dorry, MSCCC-SLP is a Qualified Speech Language Pathologist in Mount Airy, North Carolina. Qualified in 2010, 16 years ago. Licensed in North Carolina.

Years since qualifying
16
Licensed in
NC
In the registry since
2012
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Practice location Address checks out

711 W Independence Blvd
Mount Airy, NC 27030-3576
Phone: (855) 983-0488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 9910 (NC)

Record details

NPI number1053679118
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedApril 26, 2012
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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