Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fame Speech and Myo

Organization Speech-Language Pathologist · NPI 1619622859

Fame Speech and Myo is a Speech-Language Pathologist in Jacksonville, Florida. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

13490 Gran Bay Pkwy Apt 732
Jacksonville, FL 32258-7439
Phone: (717) 875-0962
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1619622859
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexa Stubenrauch — Speech Language Pathologist · (717) 875-0962
NPI enumeratedFebruary 16, 2022
Last updated in NPPESNovember 4, 2022
Certification dateSeptember 26, 2022
Mailing address178 Vista Grande Dr, Ponte Vedra Beach, FL 32082-1754

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