Individual provider · Type 1 NPI

Kristine Leigh Tavrisov, M.S. CCC-SLP

Speech-Language Pathologist · Jacksonville, FL

NPI number 1467029009 Active

Practice location

11420 Campfield Cir
Jacksonville, FL 32256-3907

Call (904) 910-1065 Map

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSA20512 (FL)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1467029009

Kristine Leigh Tavrisov, M.S. CCC-SLP's National Provider Identifier is 1467029009, issued on Jun 10, 2021. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 18, 2023.