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

Individual provider Speech-Language Pathologist · NPI 1639579766

Jessica Bauer, MS is a Speech-Language Pathologist in Port Orange, Florida. Works from 2 locations. Licensed in California, Montana and North Dakota.

Licensed in
CA, MT, ND
In the registry since
2014
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

5535 S Williamson Blvd Ste 774
Port Orange, FL 32128-8321
Phone: (888) 265-2680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2625 N 19th St, Bismarck, ND 58503-0574 — (701) 222-3175

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 28636 (CA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 1370 (ND)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SLP-SP-LIC-5948 (MT)

Record details

NPI number1639579766
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorNo
NPI enumeratedAugust 26, 2014
Last updated in NPPESJune 2, 2020
Certification dateJune 2, 2020
Mailing address2625 N 19th St, Bismarck, ND 58503-0574

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