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

Jessica Chava Betaharon

Individual provider Speech-Language Pathologist · NPI 1588278212

Jessica Chava Betaharon is a Qualified Speech Language Pathologist in Frederick, Maryland. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in Maryland.

Years since qualifying
6
Licensed in
MD
In the registry since
2020

Practice location Address checks out

191 S East St
Frederick, MD 21701-5918
Phone: (301) 644-6000
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 09962 (MD)

Record details

NPI number1588278212
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 1, 2020
Last updated in NPPESNovember 19, 2021
Certification dateNovember 19, 2021

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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