Individual
MRS. JENNA BETH BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
8108B POINT SHERMAN DR, KODIAK, AK 99615-6743
(256) 453-4990
Mailing address
8108B POINT SHERMAN DR, KODIAK, AK 99615-6743
(256) 453-4990
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
219076
AK
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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