JENNIFER PEACOCK M.A., CCC-SLP
NPI 1306349436
Speech-Language Pathologist in Detroit, MI

Active since March 15, 2018
2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-4612 Get Directions Write a Review

NPPES record last updated: March 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Peacock M.a., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER PEACOCK M.A., CCC-SLP (NPI 1306349436) is an individual speech-language pathologist provider in Detroit, Michigan, licensed in Michigan (7101000767) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1306349436
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJENNIFER PEACOCKCredential: M.A., CCC-SLP
Location Address2799 W GRAND BLVDDetroit, MI 48202-2608
Mailing Address2799 W. Grand Boulevard, Pallister Place - Speech PathologyDetroit, MI 48202
Sole ProprietorYes
Enumeration DateMarch 15, 2018
NPI 1306349436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in MI · 7101000767
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
2799 W GRAND BLVD, Detroit, MI 48202

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Acute Care Hospital
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Family Medicine
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Cardiovascular Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Nurse Anesthetist, Certified Registered
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Peacock's NPI number?

The NPI number for Jennifer Peacock is 1306349436. It was assigned to this individual provider in the NPPES registry on March 15, 2018.

Where is Jennifer Peacock located?

Jennifer Peacock practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-4612.

What is Jennifer Peacock's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Peacock was last updated on March 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.