Black, Rebecca

Black, Rebecca is an individual health care provider with primary practice located at 901 Somerby Dr , Mobile AL 36695-3490. 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, Rebecca can be contacted via phone (251) 633-4447.

Contact Information

Primary practice address
901 Somerby Dr Mobile AL 36695-3490
Phone: (251) 633-4447
Fax: (251) 633-4141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S2403 Mississippi
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S2885 Alabama

Profile Details

NPI number 1033232657
LBN Legal business name Black, Rebecca
Credentials MS,CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Jul 5th, 2012 - about 14 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 1033232657 NPPES
Alabama MEDICAID 529917620
Alabama Other 1003819608

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