Kristen Bourque
Speech-Language Pathologist, in Jacksonville Beach, Florida
1316210107- Practice location
- 333 1ST St N, Suite 200, Jacksonville Beach, FL 32250-6945
- Phone
- 866-490-5038
- Fax
- —
- Last updated
- February 9, 2012
Kristen Bourque is a Speech-Language Pathologist, based in Jacksonville Beach, FL. Kristen Bourque practices in Jacksonville Beach, FL. The NPI Number for Kristen Bourque is 1316210107 and holds a License No. 7271 (MA). The current practice location address for Kristen Bourque is 333 1ST St N, Suite 200, Jacksonville Beach, FL 32250-6945 and can be reached out via phone at 866-490-5038.
Provider Profile Details
- NPI Number
- 1316210107
- Provider Name
- Kristen Bourque
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 333 1ST St N, Suite 200, Jacksonville Beach, FL 32250-6945
- Phone Number
- 866-490-5038
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 9, 2012
- Last Update Date
- February 9, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 333 1ST St N
Suite 200
Jacksonville Beach, FL 32250-6945 - State
- Florida
- Zip
- 32250-6945
- Phone Number
- 866-490-5038
Provider Business Mailing Address Details
- Address
- 107 Alandale Ave
Brockton, MA 02301-1770 - City
- Brockton
- State
- MA
- Zip
- 02301-1770
License Information
- License Number
- 7271
- License State
- MA
- Taxonomy
- Speech-Language Pathologist, · 235Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Speech-Language Pathologist, providers near Jacksonville Beach, FL
View all Speech-Language Pathologist, providers in Jacksonville Beach →Frequently Asked Questions
What is the NPI number of Kristen Bourque?
The NPI number of Kristen Bourque is 1316210107. It was assigned on February 9, 2012 and is currently active in the NPPES registry.
What is the specialty of Kristen Bourque?
Kristen Bourque is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 7271.
Where does Kristen Bourque practice?
The practice location is 333 1ST St N, Suite 200, Jacksonville Beach, FL 32250-6945. The office can be reached at 866-490-5038 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316210107 directly on the NPPES registry website.