Individual ProviderKatie Carlson HowardSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1350 13th Ave S, Jacksonville Beach, FL 32250-3203(904) 627-1450(904) 252-7050PECOS EnrollmentBased on the most recent information from CMS, provider Katie Carlson Howard does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1740672450Provider TypeIndividualFull NameHoward, Katie CarlsonTitleMrs.CredentialCCC-SLPGenderFemaleSole ProprietorNoEnumeration Date3/4/2015Last Updated3/4/2015Contact InformationPractice LocationPractice Address1350 13th Ave S, Jacksonville Beach, FL 32250-3203Phone(904) 627-1450FaxUnlisted FaxMailing LocationMailing Address2572 Saint Johns Blvd, Jacksonville Beach, FL 32250-3161Phone(904) 252-7050FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSA 7817Florida