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

Scarlette Phommathep

Individual provider Speech-Language Pathologist · NPI 1215621016

Scarlette Phommathep is a Speech-Language Pathologist in Lake City, Florida. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

229 SW Main Blvd
Lake City, FL 32025-7049
Phone: (386) 515-3009
Show map & directions

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

Additional practice locations (1)

  • 250 Nw 76th Dr, Gainesville, FL 32607-6668 — (352) 505-6363

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1215621016
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 5, 2023
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023
Mailing address250 Nw 76th Dr, Gainesville, FL 32607-6668

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