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

Kristen Bourque

Individual provider Speech-Language Pathologist · NPI 1316210107

Kristen Bourque is a Speech-Language Pathologist in Jacksonville Beach, Florida. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2012

Practice location Address checks out

333 1st St N Ste 200
Jacksonville Beach, FL 32250-6945
Phone: (866) 490-5038
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 7271 (MA)

Record details

NPI number1316210107
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 9, 2012
Last updated in NPPESFebruary 9, 2012
Mailing address107 Alandale Ave, Brockton, MA 02301-1770

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