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

Individual provider Speech-Language Pathologist · NPI 1558975904

Theresa Patricia Blackwood, SLP is a Speech-Language Pathologist in Port Orange, Florida. Licensed in Florida. Registered with an NPI since 2020.

Licensed in
FL
In the registry since
2020
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

446 Wiltshire Blvd
Port Orange, FL 32127-6026
Phone: (386) 212-9840
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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 15690 (FL)

Record details

NPI number1558975904
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorNo
NPI enumeratedSeptember 3, 2020
Last updated in NPPESSeptember 3, 2020
Certification dateSeptember 3, 2020

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