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

Katelyn Jacques, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1891391769

Katelyn Jacques, CCC-SLP is a Qualified Speech Language Pathologist in Lisbon, Maine. Qualified in 2016, 10 years ago. Practices with Androscoggin Home Health Services Inc, a 42-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
10
Licensed in
ME
In the registry since
2020
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

48 Beech St
Lisbon, ME 04250-6476
Phone: (207) 240-8656
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 SP2670 (ME)

Record details

NPI number1891391769
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedDecember 7, 2020
Last updated in NPPESDecember 7, 2020
Certification dateDecember 7, 2020
Mailing address48 Beech St, Lisbon, ME 04250-6476

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Androscoggin Home Health Services Inc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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