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

Individual provider Speech-Language Pathologist · NPI 1053629618

Michelle Klindtworth, CCC-SLP is a Speech-Language Pathologist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

11512 Lake Mead Ave Ste 203
Jacksonville, FL 32256-9680
Phone: (904) 652-5408
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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 SA 10324 (FL)

Record details

NPI number1053629618
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 16, 2010
Last updated in NPPESSeptember 16, 2010

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