Individual
BRIANA SUE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CF-SLP
Contact information
Practice address
21615 HAWTHORNE BLVD STE 200, TORRANCE, CA 90503-6670
(310) 371-8555
Mailing address
376 E 20TH ST UNIT C, COSTA MESA, CA 92627-2338
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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