Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michele Catherine Black, MACCC-SLP

Individual provider Developmental Therapist · NPI 1164512455

Michele Catherine Black, MACCC-SLP is a Developmental Therapist in Winter Park, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1757 Indiana Ave
Winter Park, FL 32789-5446
Phone: (407) 461-7787
Fax: (407) 988-1514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA8723 (FL)
Developmental Therapist Taxonomy 222Q00000X

Record details

NPI number1164512455
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedOctober 15, 2006
Last updated in NPPESFebruary 16, 2025
Certification dateFebruary 16, 2025

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