Jennifer A. Black, M.A. CCC-SLP

NPI #1982737698 in Auburn, Maine

Provider Information

NPI Number: 1982737698
Entity Type: Individual
Name: Jennifer A. Black, M.A. CCC-SLP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Speech-Language Pathologist
Credential: M.A. CCC-SLP
Enumeration Date: Mar 13, 2007
Last Updated: Jun 11, 2009

Practice Location

Address: 24 FALCON DR
City: Auburn
State: Maine
ZIP Code: 04210-4384
Phone: (207) 782-5437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X	Primary

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