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

Individual provider Speech-Language Pathologist · NPI 1174750251

Michelle Booso, MACCCSLP is a Speech-Language Pathologist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
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Practice location Address checks out

110 E 25th St
New York, NY 10010-2913
Phone: (917) 763-9000
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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 017431 (NY)

Record details

NPI number1174750251
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCCSLP
Sole proprietorYes
NPI enumeratedJune 16, 2009
Last updated in NPPESDecember 19, 2019
Certification dateDecember 19, 2019

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