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NPI Code Detail

MEDICARE: CATHERINE DIMBERG MS, CCC-SLP

MEDICARE:   CATHERINE  DIMBERG  MS, 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 Pathologist124773TX

General Provider Information

NPI Number : 1710838875
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE DIMBERG MS, CCC-SLP
Provider Business Mailing Address
First Line : 2310 BEACH BLVD
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-7619
Country : US
Telephone Number : 904-864-0308
Fax Number :
Provider Business Practice Location Address
First Line : 2310 BEACH BLVD
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-7619
Country : US
Telephone Number : 904-864-0308
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “ CATHERINE DIMBERG MS, CCC-SLP” Practice Location

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