Black, Jennifer A.

Black, Jennifer A. is an individual health care provider with primary practice located at 24 Falcon Dr , Auburn ME 04210-4384. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Black, Jennifer A. can be contacted via phone (207) 782-5437.

Contact Information

Primary practice address
24 Falcon Dr Auburn ME 04210-4384
Phone: (207) 782-5437
Fax: (207) 753-0105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP1713 Maine

Profile Details

NPI number 1982737698
LBN Legal business name Black, Jennifer A.
Credentials M.A. CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Jun 11th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982737698 NPPES
Maine MEDICAID 26179099

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