Individual ProviderJacqueline Sue AdamsSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address2865 Chancellor Dr, Suite 105, Crestview Hills, KY 41017-3912(859) 426-5666PECOS EnrollmentBased on the most recent information from CMS, provider Jacqueline Sue Adams does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1396881736Provider TypeIndividualFull NameAdams, Jacqueline SueTitleMs.CredentialSTGenderFemaleSole ProprietorYesEnumeration Date1/30/2007Last Updated4/28/2017Contact InformationPractice LocationPractice Address2865 Chancellor Dr, Suite 105, Crestview Hills, KY 41017-3912Phone(859) 426-5666Fax(859) 426-5665Mailing LocationMailing Address2865 Chancellor Dr, Suite 105, Crestview Hills, KY 41017-3912Phone(859) 426-5666Fax(859) 426-5665Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseKY2628Kentucky