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CLEMENTINE SPEECH THERAPY LLC
NPI 1093646440
Speech-Language Pathologist in St Petersburg, FL

Active since May 26, 2026
1911 BURLINGTON AVE N, ST PETERSBURG, FL 33713(757) 636-0746 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clementine Speech Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEMENTINE SPEECH THERAPY LLC (NPI 1093646440) is a healthcare organization registered as a speech-language pathologist in St Petersburg, Florida and active in the NPI registry since May 2026. The organization lists Aemelia Lynn Jackson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093646440
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameCLEMENTINE SPEECH THERAPY LLC
Location Address1911 BURLINGTON AVE NSt Petersburg, FL 33713-8030
Mailing Address1911 Burlington Ave NSt Petersburg, FL 33713-8030 · (757) 636-0746
Phone(757) 636-0746
Organization SubpartNo
Authorized OfficialAemelia Lynn JacksonCeo · (757) 636-0746
Enumeration DateMay 26, 2026
NPPES CertifiedMay 26, 2026
✔ NPI 1093646440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1911 BURLINGTON AVE N, St Petersburg, FL 33713
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AEMELIA L JACKSON
Speech-Language Pathologist
1911 BURLINGTON AVE N
ST PETERSBURG, FL 33713
Pinellas County (757) 636-0746

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clementine Speech Therapy LLC's NPI number?

The NPI number for Clementine Speech Therapy LLC is 1093646440. It was assigned to this organization in the NPPES registry on May 26, 2026.

Where is Clementine Speech Therapy LLC located?

Clementine Speech Therapy LLC is located at 1911 Burlington Ave N, St Petersburg, FL 33713. The listed phone number is (757) 636-0746.

What is Clementine Speech Therapy LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Clementine Speech Therapy LLC was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.