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General NPI Number Information
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NPI Number | 1437742111
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Entity Type | Individual
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Provider Name | JAN LEGASPI M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 02/14/2021
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 1801 S 23RD ST STE 2
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City | FORT PIERCE
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State | FL
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Zip | 34950-4830
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Country | US
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Telephone | 177-246-4330
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Fax |
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Provider Business Mailing Address
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Address Line | 6045 NW WINFIELD DR
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City | PORT ST LUCIE
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State | FL
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Zip | 34986-3738
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Country | US
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Telephone | 818-572-7876
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 20251
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License Number State | FL
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