Melissa Black

NPI #1083195903 in Daleville, Indiana

Provider Information

NPI Number: 1083195903
Entity Type: Individual
Name: Melissa Black
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Aug 28, 2018
Last Updated: Aug 28, 2018

Practice Location

Address: 9000 S COUNTY ROAD 800 W
City: Daleville
State: Indiana
ZIP Code: 47334-9420
Phone: (765) 644-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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