MEDICARE: COASTAL SPEECH AND LANGUAGE CENTER, 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	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1891631156
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COASTAL SPEECH AND LANGUAGE CENTER, LLC

Provider Business Mailing Address
First Line	:	1439 N US HIGHWAY 1 STE A6
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-0736
Country	:	US
Telephone Number	:	386-450-8083
Fax Number	:	386-777-3863

Provider Business Practice Location Address
First Line	:	1439 N US HIGHWAY 1 STE A6
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-0736
Country	:	US
Telephone Number	:	386-450-8083
Fax Number	:	386-777-3863

Authorized Official
Title or Position	:	OWNER, THERAPIST
Name	:	JENNIFER DUCKWORTH
Credential	:	MS, CCC-SLP
Telephone Number	:	386-346-0523

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	04/28/2026

Similar Medicare Providers

1982931903 — KAREN D. GRANT LCSW
Practice Location Address:

571 LEEWAY TRL
ORMOND BEACH, FL
32174-2566

Practice Phone: 386-871-0736
Practice Fax: 386-258-9889

1144218892 — ROLAND ZSOLT GERENCER MD
Practice Location Address:

1050 W GRANADA BLVD STE 4
ORMOND BEACH, FL
32174-8155

Practice Phone: 386-677-8808
Practice Fax: 386-222-0769

1346701406 — CASIE MCCALLISTER
Practice Location Address:

454 S YONGE ST STE 3A
ORMOND BEACH, FL
32174-7501

Practice Phone: 386-280-4877
Practice Fax: 386-414-7227

1558754994 — ATLANTIC MOBILE IMAGING SERVICES
Practice Location Address:

1400 HAND AVE STE A
ORMOND BEACH, FL
32174-8195

Practice Phone: 386-239-8270
Practice Fax: 386-239-8273

1992708580 — DAVIS DIAGNOSTICS LLC
Practice Location Address:

290 CLYDE MORRIS BLVD , STE C1
ORMOND BEACH, FL
32174-8204

Practice Phone: 386-677-8680
Practice Fax: 386-677-6895

1821093105 — DR. DIEGO T. TORRES II II M.D.
Practice Location Address:

325 CLYDE MORRIS BLVD , STE 320
ORMOND BEACH, FL
32174-8179

Practice Phone: 386-676-2367
Practice Fax: 386-615-6402

Directions to “COASTAL SPEECH AND LANGUAGE CENTER, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.