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SPEECH PATHWAYS OF ST. JOHNS NPI 1417617309


NPI Information

NPI: 1417617309
Provider Name: SPEECH PATHWAYS OF ST. JOHNS
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
12627 SAN JOSE BLVD STE 803
JACKSONVILLE, FL
ZIP 32223
Phone: (908) 770-5990
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SPEECH PATHWAYS OF ST. JOHNS is a speech language pathologist in Jacksonville, FL. The provider is 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. SPEECH PATHWAYS OF ST. JOHNS NPI is 1417617309. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12627 SAN JOSE BLVD STE 803
JACKSONVILLE, FL
ZIP 32223-644
Phone: (908) 770-5990

The provider's authorized official is Karissa Anne Gussmann .
The authorized official title is Manager/owner and has the following contact phone number (908) 770-5990.

The enumeration date for this NPI number is 12/20/2021 and was last updated on 12/20/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language PathologistYes
2261QP2000XClinic/CenterPhysical TherapyNo
3261QX0100XClinic/CenterOccupational MedicineNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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