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

Individual provider Speech-Language Pathologist · NPI 1669027447

Jacqueline Fuentes, CCC-SLP is a Speech-Language Pathologist in Brookline, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts and New York.

Licensed in
MA, NY
In the registry since
2019
Specialties on file
2
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

1731 Beacon St Apt 704
Brookline, MA 02445-5326
Phone: (845) 857-4953
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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 78260 (MA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 030372 (NY)

Record details

NPI number1669027447
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedAugust 7, 2019
Last updated in NPPESNovember 4, 2022
Certification dateNovember 4, 2022

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