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:
Health care specialties
Specialty | Code | License # | 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 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164512455 | NPPES |
Florida | MEDICAID | 890920200 |
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