Brock, Jacqueline Rae

Brock, Jacqueline Rae is an individual health care provider with primary practice located at 2605 Bethlehem Ln , Hebron KY 41048-9714. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Brock, Jacqueline Rae can be contacted via phone (281) 845-1902.

Contact Information

Primary practice address
2605 Bethlehem Ln Hebron KY 41048-9714
Phone: (281) 845-1902
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 106170 Texas

Profile Details

NPI number 1215222781
LBN Legal business name Brock, Jacqueline Rae
Credentials M.S, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2011
Last updated Sep 7th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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