Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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James Polk, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1528210028

James Polk, MA, CCC-SLP is a Speech-Language Pathologist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2008
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

3659 Pine St
Jacksonville, FL 32205-9456
Phone: (904) 388-7699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA1457 (FL)

Record details

NPI number1528210028
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedOctober 15, 2008
Last updated in NPPESOctober 15, 2008

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