Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Timothy George Stavropulos, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1639288616

Mr. Timothy George Stavropulos, MA, CCC-SLP is a Speech-Language Pathologist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
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

4600 Beach Blvd
Jacksonville, FL 32207-4764
Phone: (904) 346-5100
Fax: (904) 343-6511
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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 SA 000496 (FL)

Record details

NPI number1639288616
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESJuly 9, 2007

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