Samantha Black, MA CCC-SLP/L

NPI #1104416700 in Chicago, Illinois

Provider Information

NPI Number
1104416700
Entity Type
Individual
Name
Samantha Black, MA CCC-SLP/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
MA CCC-SLP/L
Enumeration Date
Jan 19, 2021
Last Updated
Feb 9, 2023

Practice Location

Address
1510 E 55TH ST
ZIP Code
60615-2598
Phone
(219) 363-8498

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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