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

Individual provider Speech-Language Pathologist · NPI 1215222781

Jacqueline Rae Brock, MS, CCC-SLP is a Speech-Language Pathologist in Hebron, Kentucky. Licensed in Texas. Registered with an NPI since 2011.

Licensed in
TX
In the registry since
2011
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

2605 Bethlehem Ln
Hebron, KY 41048-9714
Phone: (281) 845-1902
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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 106170 (TX)

Record details

NPI number1215222781
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedJune 13, 2011
Last updated in NPPESSeptember 7, 2022
Certification dateSeptember 7, 2022

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