Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Black, MACCCSLP

Individual provider Speech-Language Pathologist · NPI 1801120662

Jennifer Black, MACCCSLP is a Speech-Language Pathologist in Fort Myers, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2009

Practice location Address checks out

3778 Hanover St
Fort Myers, FL 33901-8503
Phone: (239) 939-6993
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA 7436 (FL)

Record details

NPI number1801120662
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCCSLP
Sole proprietorYes
NPI enumeratedSeptember 28, 2009
Last updated in NPPESSeptember 28, 2009
Mailing address3778 Hanover St, Fort Myers, FL 33901-8503

Other providers in Fort Myers