MR. TIMOTHY GEORGE STAVROPULOS M.A., CCC-SLP
NPI 1639288616
Speech-Language Pathologist in Jacksonville, FL

Q: What is Timothy Stavropulos's NPI number?

The NPI number for Timothy Stavropulos is 1639288616. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Timothy Stavropulos's specialty?

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

Active since August 30, 2006

4600 BEACH BLVD, JACKSONVILLE, FL 32207(904) 346-5100(904) 343-6511 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Timothy George Stavropulos M.a., Ccc-slp NPPES

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

MR. TIMOTHY GEORGE STAVROPULOS M.A., CCC-SLP (NPI 1639288616) is an individual speech-language pathologist provider in Jacksonville, Florida, licensed in Florida (SA 000496) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1639288616

Entity TypeIndividualMale

Primary Taxonomy235Z00000X

Provider Legal NameMR. TIMOTHY GEORGE STAVROPULOSCredential: M.A., CCC-SLP

Location Address4600 BEACH BLVDJacksonville, FL 32207-4764

Mailing AddressPo Box 2152Saint Augustine, FL 32085-2152 · (904) 471-0293 · Fax (904) 346-5111

Phone(904) 346-5100

Fax(904) 343-6511

Sole ProprietorNo

Enumeration DateAugust 30, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1639288616 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

License✔ Licensed in FL · SA 000496

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.

4600 BEACH BLVD, Jacksonville, FL 32207

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