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

Jeanette Marie Roth, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1477077303

Jeanette Marie Roth, MACCC-SLP is a Speech-Language Pathologist in Wilmington, North Carolina. Licensed in North Carolina and New Jersey. Registered with an NPI since 2017.

Licensed in
NC, NJ
In the registry since
2017
Specialties on file
2

Practice location Address checks out

3901 Wrightsville Ave Ste 120
Wilmington, NC 28403-6256
Phone: (910) 679-8385
Fax: (910) 679-8385
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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 12318 (NC)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 41YS00494500 (NJ)

Record details

NPI number1477077303
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorNo
NPI enumeratedAugust 2, 2017
Last updated in NPPESJanuary 16, 2020
Certification dateJanuary 16, 2020

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