Tracy Diane Black, M.S. CF-SLP
NPI #1255869434 in Elizabethtown, Kentucky
Provider Information
- NPI Number
- 1255869434
- Entity Type
- Individual
- Name
- Tracy Diane Black, M.S. CF-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S. CF-SLP
- Enumeration Date
- Jun 1, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1609 N DIXIE AVE STE 114
- City
- Elizabethtown
- State
- Kentucky
- ZIP Code
- 42701-7494
- Phone
- (270) 827-4652
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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