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

Individual provider Speech-Language Pathologist · NPI 1821130659

Krista Bourne is a Speech-Language Pathologist in Port Jefferson Station, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
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Practice location Address checks out

15 Lillian St
Port Jefferson Station, NY 11776 Not confirmed with CMS for 19 years — call before visiting
Phone: (631) 474-8697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 008092-1 (NY)

Record details

NPI number1821130659
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 12, 2007
Last updated in NPPESJuly 8, 2007

Other providers in Port Jefferson Station