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

Speech Pathways of St Johns

Organization Speech-Language Pathologist · NPI 1417617309

Speech Pathways of St Johns is a Speech-Language Pathologist in Jacksonville, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3

Practice location Address checks out

12627 San Jose Blvd Ste 803
Jacksonville, FL 32223-8644
Phone: (908) 770-5990
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Physical Therapy Clinic/Center Taxonomy 261QP2000X
Occupational Medicine Clinic/Center Taxonomy 261QX0100X

Record details

NPI number1417617309
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karissa Gussmann — Manager/Owner · (908) 770-5990
NPI enumeratedDecember 20, 2021
Last updated in NPPESDecember 20, 2021
Certification dateDecember 20, 2021
Mailing address609 Fort William Dr, Saint Johns, FL 32259-5925

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