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

Jaqueline Hernandez, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1639721475

Jaqueline Hernandez, CCC-SLP is a Speech-Language Pathologist in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2019.

Licensed in
OK
In the registry since
2019
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

4800 W San Antonio St Ste 103
Broken Arrow, OK 74012-6127
Phone: (918) 417-8740
Fax: (918) 410-0299
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 5186 (OK)

Record details

NPI number1639721475
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 11, 2019
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023

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