MEDICARE: SPEECH BY KATIE LLC

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1083571251
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPEECH BY KATIE LLC

Provider Business Mailing Address
First Line	:	414 5TH ST S
Second Line	:
City	:	SAFETY HARBOR
State	:	FL
Zip	:	34695-4045
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	414 5TH ST S
Second Line	:
City	:	SAFETY HARBOR
State	:	FL
Zip	:	34695-4045
Country	:	US
Telephone Number	:	813-431-3526
Fax Number	:

Authorized Official
Title or Position	:	OWNER/SLP
Name	:	KATIE TASHKIN
Credential	:	MS, CCC-SLP
Telephone Number	:	813-431-3526

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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Directions to “SPEECH BY KATIE LLC ” Practice Location

Language	Start Address	Practice Location

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