Black, Michele Catherine

Black, Michele Catherine is an sole proprietor health care provider with primary practice located at 1757 Indiana Ave , Winter Park FL 32789-5446. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Early Intervention Provider Agency. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Black, Michele Catherine can be contacted via phone (407) 461-7787.

Contact Information

Primary practice address
1757 Indiana Ave Winter Park FL 32789-5446
Phone: (407) 461-7787
Fax: (407) 988-1514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA8723 Florida
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1164512455
LBN Legal business name Black, Michele Catherine
Credentials M.A.CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2006
Last updated May 31st, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164512455 NPPES
Florida MEDICAID 890920200

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