Active NPIIndividual provider

Kimberly Black, MA CCC-SLP

Speech-Language Pathologist, in Monmouth Beach, New Jersey

NPI Number1962769919
Practice location
32 Monmouth Pkwy, Monmouth Beach, NJ 07750-1129
Fax
—
Last updated
February 8, 2016

Kimberly Black is a Speech-Language Pathologist, based in Monmouth Beach, NJ. Kimberly Black practices in Monmouth Beach, NJ and has the professional credentials of MA CCC-SLP. The NPI Number for Kimberly Black is 1962769919 and holds a License No. 41YS00271800 (NJ). The current practice location address for Kimberly Black is 32 Monmouth Pkwy, Monmouth Beach, NJ 07750-1129 and can be reached out via phone at 732-673-6725.

Provider Profile Details

NPI Number
1962769919
Provider Name
Kimberly Black
Credential
MA CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
32 Monmouth Pkwy, Monmouth Beach, NJ 07750-1129
Phone Number
732-673-6725
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
April 16, 2012
Last Update Date
February 8, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
32 Monmouth Pkwy
Monmouth Beach, NJ 07750-1129
Zip
07750-1129
Phone Number
732-673-6725
Monmouth Beach, NJ 07750Get directions →

Provider Business Mailing Address Details

Address
32 Monmouth Pkwy
Monmouth Beach, NJ 07750-1129
City
Monmouth Beach
State
NJ
Zip
07750-1129
Phone Number
732-673-6725

License Information

License Number
41YS00271800
License State
NJ
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Kimberly Black, MA CCC-SLP?

The NPI number of Kimberly Black, MA CCC-SLP is 1962769919. It was assigned on April 16, 2012 and is currently active in the NPPES registry.

What is the specialty of Kimberly Black, MA CCC-SLP?

Kimberly Black, MA CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00271800.

Where does Kimberly Black, MA CCC-SLP practice?

The practice location is 32 Monmouth Pkwy, Monmouth Beach, NJ 07750-1129. The office can be reached at 732-673-6725 (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 1962769919 directly on the NPPES registry website.

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