ERYN COCHRAN MGBOLU M.S. CCC-SLP
NPI 1578208690
Speech-Language Pathologist in St Augustine, FL

Active since May 03, 2022
104 ASHOURIAN AVE STE 105, ST AUGUSTINE, FL 32092(904) 230-7761 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 8, 2024, Oct 17, 2023, May 3, 2022 (3 updates tracked since 2022).

About Eryn Cochran Mgbolu M.s. Ccc-slp NPPES

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

ERYN COCHRAN MGBOLU M.S. CCC-SLP (NPI 1578208690) is an individual speech-language pathologist provider in St Augustine, Florida and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1578208690
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameERYN COCHRAN MGBOLUCredential: M.S. CCC-SLP
Location Address104 ASHOURIAN AVE STE 105St Augustine, FL 32092-5106
Mailing Address14051 Beach Blvd Apt 2109Jacksonville, FL 32250-1798 · (706) 897-9605
Sole ProprietorYes
Enumeration DateMay 3, 2022
Last NPPES UpdateMay 8, 20243 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
NPI 1578208690 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.

104 ASHOURIAN AVE STE 105, St Augustine, FL 32092

Other Providers at the Same Location NPPES 7

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

Speech-Language Pathologist
104 ASHOURIAN AVE STE 105
ST AUGUSTINE, FL 32092
Physical Therapist
104 ASHOURIAN AVE STE 105
SAINT AUGUSTINE, FL 32092
Speech-Language Pathologist
104 ASHOURIAN AVE STE 105
ST AUGUSTINE, FL 32092
Speech-Language Pathologist
104 ASHOURIAN AVE STE 105
ST AUGUSTINE, FL 32092
Physical Therapist
104 ASHOURIAN AVE STE 105
ST AUGUSTINE, FL 32092
Occupational Therapist
104 ASHOURIAN AVE STE 105
SAINT AUGUSTINE, FL 32092
Speech-Language Pathologist
104 ASHOURIAN AVE STE 105
SAINT AUGUSTINE, FL 32092

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578208690, enumerated as an "individual" on May 03, 2022.

The provider is located at 104 ASHOURIAN AVE STE 105 ST AUGUSTINE, FL 32092 and the phone number is (904) 230-7761.

Speech-Language Pathologist with taxonomy code 235Z00000X.