Kristen Bourque

Speech-Language Pathologist · Jacksonville Beach, FL

Individual Active NPI

NPI number 1316210107

Practice location

333 1st St N
Suite 200
Jacksonville Beach, FL 32250-6945
Phone
(866) 490-5038

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NPI record

NPI
1316210107
Entity type
Individual (Type 1)
Enumeration date
February 9, 2012
Last updated
February 9, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 7271 MA

Mailing address

107 Alandale Ave
Brockton, MA 02301-1770

About Kristen Bourque

Kristen Bourque is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 333 1st St N, Suite 200, Jacksonville Beach, FL 32250-6945. The NPI number 1316210107 was assigned on February 9, 2012 and the record was last updated on February 9, 2012.

Kristen Bourque lists a license in the registry: #7271 (MA) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kristen Bourque?

The NPI number is 1316210107.

What is the phone number of Kristen Bourque?

The phone number listed for the practice location is (866) 490-5038.

Where is Kristen Bourque located?

333 1st St N, Suite 200, Jacksonville Beach, FL 32250-6945.

What is the taxonomy code for Kristen Bourque?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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