Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Mary Sandra B. Justen, MSP, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1639395247

Mrs. Mary Sandra B. Justen, MSP, CCC-SLP is a Speech-Language Pathologist in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
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

12723 Barrett Dr
Tampa, FL 33624-4101
Phone: (813) 514-7425
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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 SA3694 (FL)

Record details

NPI number1639395247
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSP , CCC-SLP
Sole proprietorYes
NPI enumeratedApril 18, 2007
Last updated in NPPESJuly 9, 2007

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