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

Mrs. Kathleen Anne Willis, MACCCSLP

Individual provider Speech-Language Pathologist · NPI 1003966193

Mrs. Kathleen Anne Willis, MACCCSLP is a Qualified Speech Language Pathologist in Tampa, Florida. Qualified in 1999, 27 years ago. Practices with Kernaghan and Moore Speech and Language Therapy Services, Inc, a 6-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
27
Licensed in
FL
In the registry since
2007
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6508 Gunn Hwy
Tampa, FL 33625-4022
Phone: (813) 963-6923
Fax: (813) 264-0768
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA7131 (FL)

Record details

NPI number1003966193
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCCSLP
Sole proprietorNo
NPI enumeratedJanuary 11, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Kernaghan And Moore Speech And Language Therapy Services, Inc. — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tampa