| Jessica Lauren Tate, | |
| 
					3600 Oak Manor Ln, Largo, FL 33774-1212  | |
| (727) 219-9025 | |
| Not Available | 
| Full Name | Jessica Lauren Tate | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 3600 Oak Manor Ln, Largo, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1033739461 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary | 
| Provider Name | Spt Kr Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1407421100 PECOS PAC ID: 9335540723 Enrollment ID: O20210623000346  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jessica Lauren Tate, 3600 Oak Manor Ln, Largo, FL 33774-1212 Ph: (727) 219-9025  | Jessica Lauren Tate, 3600 Oak Manor Ln, Largo, FL 33774-1212 Ph: (727) 219-9025  | 
Kacie Morgan Mercado,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8254 118th Ave Ste 100, Largo, FL 33773 Phone: 727-541-5304  | |
Mr. Norman Rogover,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10929 Ridge Rd, Largo, FL 33778 Phone: 727-682-0056 Fax: 727-935-4844  | |
Megan Kinney, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 8254 118th Avenue North, Ste 100, Largo, FL 33773 Phone: 727-541-5304  | |
Lisa Rae O'hanlan, M.ED CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1725 E Bay Dr, Largo, FL 33771 Phone: 727-582-9665  | |
Shanette Crume, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8254 118th Ave Ste 100, Largo, FL 33773 Phone: 727-541-5304  | |
Lindsey Michelle Geiger,  Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 8254 118th Ave Ste 100, Largo, FL 33773 Phone: 727-541-5204  |