Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER M BLACK, M.A., CCC-A
ActiveJENNIFER M BLACK, M.A., CCC-A is a Audiologist healthcare provider located in URBANA, Illinois. NPI 1457379810 is currently active in the NPPES registry. Verify at CMS.
Audiologist · URBANA, IL
Registration Details
- NPI Number
- 1457379810
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 17, 2006 (20.04110180949 yrs)
- Last Updated
- May 12, 2014
- License
-
147-000228 (IL)
Practice Information
- Address
-
611 W. PARK ST.URBANA, IL, 618012500Browse IL providers · Browse ZIP 61801
- Phone
- 2173833130
- Fax
- 2173262336
- Primary Specialty
-
Audiologist
231H00000X
Other Audiologist Providers in URBANA, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. JUDITH ANN IVERSEN | M.A | 1134145790 |
| DENISE A ZANDER | AUD | 1467478040 |
| CHRISTINE SUZANNE HONNIGFORD | CCC-A | 1831118090 |
| MS. SHAWNDA FULLER-ALWES | AUDIOLOGIST | 1528284486 |
| MS. JULIE A WIRTH | AUDIOLOGIST | 1265658108 |
| MS. DANIELLE EDMONDSON | AUDIOLOGIST | 1003032954 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.