Charlotte Black, CCC-SLP
Speech-Language Pathologist, in Seattle, WA. Individual provider (NPI-1).
NPI number1295500528
StatusActive
Last updated in NPPESNov 16, 2023
Details
- NPI
- 1295500528
- Entity type
- Individual (NPI-1)
- Name
- Charlotte Black
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2023
- Certification date
- Nov 16, 2023
- Last updated
- Nov 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | LL61503737 | WA | Yes |
Practice location
4733 Delridge Way SwSeattle, WA 98106-1330
Phone 919-624-6103
Mailing address
4733 Delridge Way SwSeattle, WA 98106-1330
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