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KELLAM BLACK S.L.P.
NPI 1255872024
Speech-Language Pathologist in Jacksonville, FL

Active since March 13, 2017
14550 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258(904) 271-6575 Get Directions Write a Review

NPPES record last updated: March 13, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kellam Black S.l.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLAM BLACK S.L.P. (NPI 1255872024) is an individual speech-language pathologist provider in Jacksonville, Florida, licensed in Florida (SA8959) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1255872024
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLAM BLACKCredential: S.L.P.
Location Address14550 OLD SAINT AUGUSTINE RDJacksonville, FL 32258-2460
Mailing Address126 Glen Eagles CtPonte Vedra Beach, FL 32082-3613 · (904) 477-9351
Phone(904) 271-6575
Sole ProprietorNo
Enumeration DateMarch 13, 2017
✔ NPI 1255872024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in FL · SA8959
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

14550 OLD SAINT AUGUSTINE RD, Jacksonville, FL 32258
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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

EMERGENCY PHYSICIANS INC
Emergency Medicine
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 396-5682
MRS. RENEE FRANKLIN GOLSON DPT
Physical Therapist
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6575
KRISTINA MCDONALD
Specialist/Technologist, Other (Surgical Technologist)
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6000
VICKIE CHAPMAN-SHAW
Nurse Practitioner (Neonatal, Critical Care)
14550 OLD SAINT AUGUSTINE RD, NICU
JACKSONVILLE, FL 32258
Duval County (904) 271-6700
LAUREN CRAWFORD BREWER
Nurse Practitioner (Pediatrics)
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6000
DR. JUSTIN RANDOLPH MOY M.D.
Otolaryngology
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 268-5336
MRS. KRISTEN KEARNS HUTSON
Speech-Language Pathologist
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6000
CORPORATE HEALTH LLC
Family Medicine
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 202-5379
JORDAN KUDLAK
Registered Nurse (Critical Care Medicine)
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6000
MR. ROGER DALE WADE RN
Registered Nurse
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6000
JANET DHEANDRIANA JOHNSON RN
Registered Nurse
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6000
FATIMA MARTINEZ RN
Registered Nurse
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6000
JUSTIN HONAKER
Registered Nurse
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6000
MS. REBECCA ANN UMPHERS REGISTERED NURSE
Registered Nurse
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6000
COBY LYNN CHRISTENSEN DNP-FNP
Nurse Practitioner
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6000
LEESA ANN DEAN RN
Registered Nurse
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6000
JONATHAN MICHAEL BONIE RN
Registered Nurse (Critical Care Medicine)
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6000
KENDA LYNELLE GREENE RN
Registered Nurse (Critical Care Medicine)
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6000
SHAYLA WILLIAMS
Registered Nurse (Critical Care Medicine)
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6000
CHAUNYALE TIFFANY JACKSON RN
Registered Nurse
14550 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Duval County (904) 271-6000

Frequently Asked Questions

What is Kellam Black's NPI number?

The NPI number assigned to this healthcare provider is 1255872024, enumerated as an "individual" on March 13, 2017.

Where is the provider located?

The provider is located at 14550 OLD SAINT AUGUSTINE RD JACKSONVILLE, FL 32258 and the phone number is (904) 271-6575.

What is the provider's specialty?

Speech-Language Pathologist with taxonomy code 235Z00000X.