IndividualActive
Mary Carlson, M.A., CCC-SLP
NPI 1710542832 · Speech-Language Pathologist · Jacksonville, FL
Provider details
- NPI number
- 1710542832
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.A., CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- SA16928 (FL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9803 Old Saint Augustine Rd Ste 8
Jacksonville, FL 32257-8845
Phone: (904) 880-9001
Street-level locationGet directions
Mailing address
7054 Emsley Cir
Jacksonville, FL 32258-8544
Additional practice locations (2)
- 3311 Beach BlvdJacksonville, FL 32207-3704Phone: (904) 396-1462
- 7054 Emsley CirJacksonville, FL 32258-8544Phone: (904) 805-3092
Registry dates
- Enumerated
- 2019-05-03
- Last updated
- 2023-10-26
- Certified
- 2023-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.