Individual
MS. CAROLYN BLACK RECTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
121 FM 971, GEORGETOWN, TX 78626-4546
(512) 868-6214
Mailing address
9009 GREAT HILLS TRL APT 1321, AUSTIN, TX 78759-7143
(308) 991-5741
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
103462
TX
Other
Enumeration date
07/05/2007
Last updated
01/20/2020
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