Black, Rebecca
Black, Rebecca is an individual health care provider with primary practice located at 4330 Highway 78 E Suite 118, Jasper AL 35501-8905. 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 (866) 537-5613.Contact Information
Primary practice address
4330 Highway 78 E Suite 118
Jasper AL 35501-8905
Phone: (866) 537-5613
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 935 | Alabama |
Profile Details
| NPI number | 1629134895 |
|---|---|
| LBN Legal business name | Black, Rebecca |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629134895 | NPPES |
| Alabama | Other | 935 | SPEECH THERAPY LICENSE |
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