Mrs. Joan L Black, MS, CCC/SLP
Speech-Language Pathologist, in Bethany, Connecticut
1639404916- Practice location
- 14 Glenwood CT, Bethany, CT 06524-3319
- Phone
- 203-314-1991
- Fax
- —
- Last updated
- July 21, 2022
Joan L. Black is a Speech-Language Pathologist, based in Bethany, CT. Joan L. Black practices in Bethany, CT and has the professional credentials of MS, CCC/SLP. The NPI Number for Joan L. Black is 1639404916 and holds a License No. 002894 (CT). The current practice location address for Joan L. Black is 14 Glenwood CT, Bethany, CT 06524-3319 and can be reached out via phone at 203-314-1991.
Provider Profile Details
- NPI Number
- 1639404916
- Provider Name
- Joan L. Black
- Credential
- MS, CCC/SLP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 14 Glenwood CT, Bethany, CT 06524-3319
- Phone Number
- 203-314-1991
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 5, 2009
- Last Update Date
- July 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 14 Glenwood CT
Bethany, CT 06524-3319 - City
- Bethany
- State
- Connecticut
- Zip
- 06524-3319
- Phone Number
- 203-314-1991
Provider Business Mailing Address Details
- Address
- 14 Glenwood CT
Bethany, CT 06524-3319 - City
- Bethany
- State
- CT
- Zip
- 06524-3319
- Phone Number
- 203-314-1991
License Information
- License Number
- 002894
- License State
- CT
- Taxonomy
- Speech-Language Pathologist, · 235Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Joan L Black, MS, CCC/SLP?
The NPI number of Mrs. Joan L Black, MS, CCC/SLP is 1639404916. It was assigned on October 5, 2009 and is currently active in the NPPES registry.
What is the specialty of Mrs. Joan L Black, MS, CCC/SLP?
Mrs. Joan L Black, MS, CCC/SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in CT under license number 002894.
Where does Mrs. Joan L Black, MS, CCC/SLP practice?
The practice location is 14 Glenwood CT, Bethany, CT 06524-3319. The office can be reached at 203-314-1991 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639404916 directly on the NPPES registry website.