Jacqueline F. Dorry, M.S. CCC-SLP
NPI 1053679118ActiveIndividual· Speech-Language Pathologist· Mount Airy, NC
Speech-Language Pathologist (M.S. CCC-SLP) in Mount Airy, North Carolina, licensed in NC, with an NPI issued in April 2012. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1053679118 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S. CCC-SLP |
| Sole proprietor | No |
| NPI issued | Apr 26, 2012 |
| Last updated in NPPES | Apr 8, 2026 |
| Certified by provider | Apr 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 9910 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (NC) |
|---|
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Other Speech-Language Pathologist providers in Mount Airy
- 1417709676
- 1568397404
- 1184556037
- 1265154611
- 1649072075
- 1346584885
- 1659296275
- 1699575720
- 1992594162
- 1053257345
- 1720606759
- 1750930236
All Speech-Language Pathologist providers in North Carolina →