Healthcare Provider Details

I. General information

NPI: 1467371732
Provider Name (Legal Business Name): JAMIE LYN STENCEL SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3916 E HILLSBOROUGH AVE
TAMPA FL
33610-4542
US

IV. Provider business mailing address

3916 E HILLSBOROUGH AVE
TAMPA FL
33610-4542
US

V. Phone/Fax

Practice location:
  • Phone: 813-540-0242
  • Fax:
Mailing address:
  • Phone: 813-540-0242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI5230
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: