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

Mr. Jared Raymond Anderson, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1417802323

Mr. Jared Raymond Anderson, CCC-SLP is a Speech-Language Pathologist in Modesto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026
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

3709 Merrifield Ave
Modesto, CA 95356-9415
Phone: (209) 606-3148
Fax: (209) 606-3148
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 22688 (CA)

Record details

NPI number1417802323
Entity typeIndividual (Type 1)
GenderMale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedMarch 4, 2026
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

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