Active NPIIndividual provider

Jennifer A Black, MA CCC-SLP

Speech-Language Pathologist, in Auburn, Maine

NPI Number1982737698
Practice location
24 Falcon Dr, Auburn, ME 04210-4384
Fax
207-753-0105
Last updated
June 11, 2009

Jennifer A. Black is a Speech-Language Pathologist, based in Auburn, ME. Jennifer A. Black practices in Auburn, ME and has the professional credentials of MA CCC-SLP. The NPI Number for Jennifer A. Black is 1982737698 and holds a License No. SP1713 (ME). The current practice location address for Jennifer A. Black is 24 Falcon Dr, Auburn, ME 04210-4384 and can be reached out via phone at 207-782-5437 and via fax at 207-753-0105.

Provider Profile Details

NPI Number
1982737698
Provider Name
Jennifer A. Black
Credential
MA CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
24 Falcon Dr, Auburn, ME 04210-4384
Phone Number
207-782-5437
Fax Number
207-753-0105
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Other Names
Jennifer A. Patrick, MA CCC-SLP (Former Name)
Provider Enumeration Date
March 13, 2007
Last Update Date
June 11, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Falcon Dr
Auburn, ME 04210-4384
City
Auburn
State
Maine
Zip
04210-4384
Phone Number
207-782-5437
Fax Number
207-753-0105
Auburn, ME 04210Get directions →

Provider Business Mailing Address Details

Address
16 Madison Ave
Oxford, ME 04270-3579
City
Oxford
State
ME
Zip
04270-3579
Phone Number
207-743-7035
Fax Number
207-743-2970

License Information

License Number
SP1713
License State
ME
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 Jennifer A Black, MA CCC-SLP?

The NPI number of Jennifer A Black, MA CCC-SLP is 1982737698. It was assigned on March 13, 2007 and is currently active in the NPPES registry.

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

Jennifer A Black, MA CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in ME under license number SP1713.

Where does Jennifer A Black, MA CCC-SLP practice?

The practice location is 24 Falcon Dr, Auburn, ME 04210-4384. The office can be reached at 207-782-5437 (phone) or 207-753-0105 (fax).

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 1982737698 directly on the NPPES registry website.

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