MR. Robert Benton Black II, M.S. SLP
NPI #1255167797 in Rolling Fork, Mississippi
Provider Information
- NPI Number
- 1255167797
- Entity Type
- Individual
- Name
- MR. Robert Benton Black II, M.S. SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S. SLP
- Enumeration Date
- Sep 11, 2024
- Last Updated
- Sep 11, 2024
Practice Location
- Address
- 431 W RACE ST
- City
- Rolling Fork
- State
- Mississippi
- ZIP Code
- 39159-2625
- Phone
- (662) 795-0440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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