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

Tara Renbeck

Individual provider Developmental Therapist · NPI 1629448832

Tara Renbeck is a Developmental Therapist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
Specialties on file
2

Practice location Address checks out

1114 Lakewood Rd
Jacksonville, FL 32207-5316
Phone: (904) 610-8926
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA9561 (FL)
Developmental Therapist Taxonomy 222Q00000X

Record details

NPI number1629448832
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 30, 2015
Last updated in NPPESAugust 21, 2019
Mailing address910 N Jefferson St, Jacksonville, FL 32209-6810

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