Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jacqueline Lois Reagor Wilson, MSP, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1457909830

Mrs. Jacqueline Lois Reagor Wilson, MSP, CCC-SLP is a Qualified Speech Language Pathologist in Charleston, South Carolina. Qualified in 2019, 7 years ago. Practices with Fox Rehabilitation Services of South Carolina, LLC, a 293-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
7
Licensed in
SC
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.

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Practice location Address checks out

9285 Medical Plaza Dr
Charleston, SC 29406-9126
Phone: (843) 797-8282
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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 7020 (SC)

Record details

NPI number1457909830
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSP , CCC-SLP
Sole proprietorNo
NPI enumeratedAugust 29, 2019
Last updated in NPPESNovember 3, 2022
Certification dateNovember 3, 2022

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Fox Rehabilitation Services Of South Carolina, Llc — 293 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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