Vivian Black, CCC SLP
Speech-Language Pathologist, in Saratoga Springs, New York
1639629686- Practice location
- 1 Blue Streak Blvd, Saratoga Springs, NY 12866-5952
- Phone
- 518-587-6690
- Fax
- —
- Last updated
- October 19, 2022
Vivian Black is a Speech-Language Pathologist, based in Saratoga Springs, NY. Vivian Black practices in Saratoga Springs, NY and has the professional credentials of CCC SLP. The NPI Number for Vivian Black is 1639629686 and holds a License No. 032067-01 (NY). The current practice location address for Vivian Black is 1 Blue Streak Blvd, Saratoga Springs, NY 12866-5952 and can be reached out via phone at 518-587-6690.
Provider Profile Details
- NPI Number
- 1639629686
- Provider Name
- Vivian Black
- Credential
- CCC SLP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 Blue Streak Blvd, Saratoga Springs, NY 12866-5952
- Phone Number
- 518-587-6690
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 13, 2016
- Last Update Date
- October 19, 2022
- Certification Date
- October 19, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Blue Streak Blvd
Saratoga Springs, NY 12866-5952 - City
- Saratoga Springs
- State
- New York
- Zip
- 12866-5952
- Phone Number
- 518-587-6690
Provider Business Mailing Address Details
- Address
- 3 Matilda St
Albany, NY 12209-1507 - City
- Albany
- State
- NY
- Zip
- 12209-1507
License Information
- Taxonomy (1)
- Community Health Worker · 172V00000X
- License Number (2)
- 032067-01
- License State (2)
- NY
- Taxonomy (2)
- 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. | |||
Other Speech-Language Pathologist, providers near Saratoga Springs, NY
View all Speech-Language Pathologist, providers in Saratoga Springs →Frequently Asked Questions
What is the NPI number of Vivian Black, CCC SLP?
The NPI number of Vivian Black, CCC SLP is 1639629686. It was assigned on October 13, 2016 and is currently active in the NPPES registry.
What is the specialty of Vivian Black, CCC SLP?
Vivian Black, CCC SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NY under license number 032067-01.
Where does Vivian Black, CCC SLP practice?
The practice location is 1 Blue Streak Blvd, Saratoga Springs, NY 12866-5952. The office can be reached at 518-587-6690 (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 1639629686 directly on the NPPES registry website.