Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHANIE BLACK, SLP
Active Sole ProprietorSTEPHANIE BLACK, SLP is a Speech-Language Pathologist healthcare provider located in BYRON, Georgia. NPI 1659707990 is currently active in the NPPES registry. Verify at CMS.
Speech-Language Pathologist · BYRON, GA
Registration Details
- NPI Number
- 1659707990
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 18, 2013 (12.867744250982 yrs)
- Last Updated
- Sep 18, 2013
- License
-
SLP12069775 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 HAMILTON POINTE DR115 & 120BYRON, GA, 31008Browse GA providers · Browse ZIP 31008
- Phone
- 4785381436
- Fax
- 4784746601
- Primary Specialty
-
Speech-Language Pathologist
235500000X
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.