Black, Austin C.

Black, Austin C. is an individual health care provider with primary practice located at 2670 S Ferdon Blvd Ste 105 , Crestview FL 32536-5481. He recently has 4 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Assistive Technology Practitioner, Speech, Language and Hearing Service Providers / Assistive Technology Supplier, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Black, Austin C. can be contacted via phone (850) 683-8777.

Contact Information

Primary practice address
2670 S Ferdon Blvd Ste 105 Crestview FL 32536-5481
Phone: (850) 683-8777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Assistive Technology Practitioner 231HA2400X 0388 Kentucky
Speech, Language and Hearing Service Providers / Assistive Technology Supplier 231HA2500X 0388 Kentucky
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 0388 Kentucky
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 0388 Kentucky

Profile Details

NPI number 1861585978
LBN Legal business name Black, Austin C.
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Oct 24th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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