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

Individual provider Speech-Language Pathologist · NPI 1851751739

MS. Mary Marie Porter, CCC-SLP is a Speech-Language Pathologist in Lakeland, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2016
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

5406 Quarry Rock Rd
Lakeland, FL 33809-0835
Phone: (863) 660-6095
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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 SA15174 (FL)

Record details

NPI number1851751739
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedMarch 4, 2016
Last updated in NPPESDecember 11, 2021
Certification dateDecember 11, 2021

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