Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fame Speech and Myo

Organization Speech-Language Pathologist · NPI 1619622859

Fame Speech and Myo provides Speech-Language Pathologist services in Jacksonville, Florida. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

13490 Gran Bay Pkwy Apt 732
Jacksonville, FL 32258-7439
Phone: (717) 875-0962
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1619622859
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexa Stubenrauch — Speech Language Pathologist · (717) 875-0962
NPI enumeratedFebruary 16, 2022
Last updated in NPPESNovember 4, 2022
Certification dateSeptember 26, 2022
Mailing address178 Vista Grande Dr, Ponte Vedra Beach, FL 32082-1754

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