Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristen Deciancio Powell, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1770146094

Kristen Deciancio Powell, MS, CCC-SLP is a Speech-Language Pathologist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019
What do these letters mean?
MS — Master of Science
A graduate science 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

11512 Lake Mead Ave
Jacksonville, FL 32256-9680
Phone: (904) 652-5408
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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 SA16943 (FL)

Record details

NPI number1770146094
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedApril 22, 2019
Last updated in NPPESMay 15, 2024
Certification dateMay 15, 2024

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