Healthcare Provider Details
I. General information
NPI: 1093938904
Provider Name (Legal Business Name): DR. MICHELLE JANICE SLAPION-FOOTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/10/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9150 SW 87TH AVE SUITE 109
MIAMI FL
33176-2319
US
IV. Provider business mailing address
9321 N KENDALL DR
MIAMI FL
33176-1915
US
V. Phone/Fax
- Phone: 305-274-4437
- Fax:
- Phone: 305-271-1744
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TB0200X |
| Taxonomy | Cognitive & Behavioral Psychologist |
| License Number | PY 3765 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC2200X |
| Taxonomy | Clinical Child & Adolescent Psychologist |
| License Number | PY 3765 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: