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

Individual provider Pediatrics Physician · NPI 1710543764

Lesley Nicole Summers, MAT, MA, CCC-SLP is a Pediatrics Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019
Specialties on file
2
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

1419 Hubbard St
Jacksonville, FL 32206-4533
Phone: (904) 431-7276
Fax: (904) 456-0838
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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 SA16358 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence SA16358 (FL)

Record details

NPI number1710543764
Entity typeIndividual (Type 1)
GenderFemale
Credentials MAT , MA , CCC-SLP
Sole proprietorNo
NPI enumeratedMay 15, 2019
Last updated in NPPESJuly 7, 2021
Certification dateJuly 7, 2021

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