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NPI Code Detail

MEDICARE: KATHRYN RUTH HESSI M.S. CCC-SLP

MEDICARE: KATHRYN RUTH HESSI M.S. CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
192523OTHEREVAL OF SPEECH SOUND PRODUCTION (ARTIC, PHONO, APRAXIA, DYSARTHRIA) AND EVAL OF
292507OTHERTREATMENT
392522OTHEREVAL OF SPEECH SOUND PRODUCTION ONLY

General Provider Information

NPI Number : 1881379386
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN RUTH HESSI M.S. CCC-SLP
Provider Business Mailing Address
First Line : 3901 UNIVERSITY BLVD S
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-4312
Country : US
Telephone Number : 904-345-7251
Fax Number :
Provider Business Practice Location Address
First Line : 104 ASHOURIAN AVE STE 105
Second Line :
City : ST AUGUSTINE
State : FL
Zip : 32092-5106
Country : US
Telephone Number : 904-230-7761
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2023
Last Update Date : 06/21/2023

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Directions to “ KATHRYN RUTH HESSI M.S. CCC-SLP” Practice Location

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