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

Individual provider Speech-Language Pathologist · NPI 1033478219

Mr. Kathiresan Rajendran, MS, CCC-SLP is a Speech-Language Pathologist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
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

12627 San Jose Blvd Ste 506
Jacksonville, FL 32223-2662
Phone: (301) 300-0382
Fax: (877) 736-3470
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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 SA10272 (FL)

Record details

NPI number1033478219
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedMay 9, 2012
Last updated in NPPESMay 9, 2012

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