MRS. Susan E. Black SR., MS,CCC-SLP
NPI #1366599565 in Locust Grove, Virginia
Provider Information
- NPI Number
- 1366599565
- Entity Type
- Individual
- Name
- MRS. Susan E. Black SR., MS,CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS,CCC-SLP
- Enumeration Date
- Jan 3, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3420 LAKEVIEW PKWY
- City
- Locust Grove
- State
- Virginia
- ZIP Code
- 22508-5664
- Phone
- (540) 972-9606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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