Individual
MRS. MERIDITH ANNE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
12220 N MERIDIAN ST STE 120, CARMEL, IN 46032-6991
(317) 569-0086
Mailing address
9573 GIBBES ST, FISHERS, IN 46038-8591
(317) 313-4242
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004117A
IN
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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