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NPI Code Detail

MEDICARE: TALA KHARBAT M.S., CCC-SLP

MEDICARE: TALA KHARBAT 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 PathologistSA24380FL

General Provider Information

NPI Number : 1407708605
Entity Type Code : Individual
Provider Name (Legal Business Name) : TALA KHARBAT M.S., CCC-SLP
Provider Business Mailing Address
First Line : 880 6TH ST S # 2146
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33701-4827
Country : US
Telephone Number : 727-767-6751
Fax Number : 727-767-6743
Provider Business Practice Location Address
First Line : 880 6TH ST S
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33701-4827
Country : US
Telephone Number : 727-767-6751
Fax Number : 727-767-6743
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 03/11/2026

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Directions to “ TALA KHARBAT M.S., CCC-SLP” Practice Location

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